Individual provider Active NPI

Karen Sue Lewis, N.P.

  • Family Nurse Practitioner
  • Mentor, OH
National Provider Identifier
1710237565
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN293968 Issued in OH
Practice address
8316 Yellowbrick Rd
Mentor, OH 44060-4960
Phone
(440) 796-9023
NPI assigned
Sep 19, 2012
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN293968 OH Primary

Addresses

Primary practice location

8316 Yellowbrick Rd
Mentor, OH 44060-4960

Mailing address

8695 Royale Oak CT
Mentor, OH 44060-6900
Phone (440) 796-9023

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karen.lewis@lhpg.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000593 OH Practitioner - Nurse Practitioner 0840442919 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN293968OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc CurrentSince Oct 22, 2012 Accepting new patients
Lake Hospital System, Inc CurrentSince Oct 22, 2012 Accepting new patients
Lake Hospital System Inc Current Accepting new patients
Eastside Hearing Aid Center, LLC PastSince May 1, 2014 Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

7580 Auburn Rd
Ste 202
Concord Township, OH 44077
Phone (440) 352-0400

8316 Yellowbrick Rd
Mentor, OH 44060
Phone (216) 342-2190

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1710237565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 ROYALE OAK CT",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606900",
            "telephone_number": "440-796-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 YELLOWBRICK RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604960",
            "telephone_number": "440-796-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN293968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karen.lewis@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "7580 Auburn Road",
            "address_2": "Suite 202",
            "city": "Concord Twp",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.