Latisha Lewis

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

8665 Page CT
Jacksonville, FL 32220-2090

Phone

(904) 576-6625

NPI assigned

Mar 13, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1700587292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8665 PAGE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322202090",
            "telephone_number": "904-576-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 PAGE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322202090",
            "telephone_number": "904-576-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LATISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michelle Lewis
• Jetaime Y Lewis, DPT
• Johnee Monique Lewis
• Katelynn Lewis
• Kristyn Lewis, MD
• Marjorie A. Lewis, MD
• Melisa Viglenna Lewis, RN, BSN
• Michael C Lewis, MD
• Michael J Lewis, DDS
• Michele D Lewis, MD

• Driver in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Driver in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.