Individual provider Active NPI

Samantha Sharron Lewis, APRN

  • Family Nurse Practitioner
  • Hazard, KY
National Provider Identifier
1730585035
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009079 Issued in KY
Practice address
182 Roy Campbell Dr
Hazard, KY 41701-9407
Phone
(606) 435-0888
Fax
(606) 435-0886
NPI assigned
Nov 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 3009079 KY Primary

Addresses

Primary practice location

182 Roy Campbell Dr
Hazard, KY 41701-9407

Mailing address

182 Roy Campbell Dr
Hazard, KY 41701-9407
Phone (606) 435-0888

Other identifiers 1

IdentifierTypeStateIssuer
7100332490MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150203002508 KY Practitioner - Nurse Practitioner 1951626449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spero Health of Kentucky, LLCGroup PAC ID 1052792041, 57 clinicians

Practice addresses (Care Compare)

189 Hwy 192 W
London, KY 40741-2428
Phone (606) 657-5470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3009079KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Kentucky, LLC CurrentSince Jun 1, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc. Family Past Accepting new patients

Locations

106 Belinda Blvd
Ste 100
Danville, KY 40422
Phone (859) 439-0340

182 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 435-0886

189 Highway 192 W
London, KY 40741
Phone (606) 657-5470

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

Interoperability endpoints

  • Direct secure messaging: samanthalewis@juniperhea.allscriptsdirect.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1730585035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 ROY CAMPBELL DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019407",
            "telephone_number": "606-435-0888",
            "fax_number": "606-435-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 ROY CAMPBELL DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019407",
            "telephone_number": "606-435-0888",
            "fax_number": "606-435-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SAMANTHA",
        "middle_name": "SHARRON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100332490",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.