Cordell Lewis, CM1

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

23106 Issued in OK

Practice address

3621 N Kelley Ave
Suite100
Oklahoma City, OK 73111-4520

Phone

(405) 524-5525

NPI assigned

Jan 18, 2011

Sex

Male

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

State licenses

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1730484098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9819 SKYLARK RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731625661",
            "telephone_number": "405-621-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 N KELLEY AVE",
            "address_2": "SUITE100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731114520",
            "telephone_number": "405-524-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CORDELL",
        "credential": "CM1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": "23106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braunya Gail Lewis
• Brittany C Lewis
• Catherine Lewis, LCSW
• Cherla Marie Lewis
• Clinton Allen Lewis, PSYD
• Dante Malik Lewis
• David M Lewis, DDS
• Diana G Lewis, M.A., CCC-SLP
• Donald Wayne Lewis
• Donnie BQ Lewis

• Case Management Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Case Management Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.