Individual provider Active NPI

Karrelle Lewis, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Sayre, PA
National Provider Identifier
1750070264
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Guthrie/Robert Packer Hospital, One
Gutherie Square
Sayre, PA 18840
Phone
(570) 888-6666
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Guthrie/Robert Packer Hospital, One
Gutherie Square
Sayre, PA 18840

Mailing address

Graduate Medical Education Guthrie/Robert Packer
Hospital, One Guthrie Square
Sayre, PA 18840
Phone (570) 888-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230928000206 PA Order and Referring Only - Family PracticePractitioner - Family Practice 9234583055

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Guthrie SQ
Sayre, PA 18840-1699

1607 Saint James CT
Tallahassee, FL 32308-4658

One Guthrie Square
Medical Education
Sayre, PA 18840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: klewis185032@direct-guthrie.org

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1750070264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GRADUATE MEDICAL EDUCATION GUTHRIE/ROBERT PACKER",
            "address_2": "HOSPITAL, ONE GUTHRIE SQUARE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "18840",
            "telephone_number": "570-888-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GUTHRIE/ROBERT PACKER HOSPITAL, ONE",
            "address_2": "GUTHERIE SQUARE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "18840",
            "telephone_number": "570-888-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KARRELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-09-05",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, PA

Sources for this page

Verify at the official NPI Registry.