Michelle Renee Lewis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703076916 Issued in MI

Practice address

13539 Santa Rosa Dr
Suite 343
Detroit, MI 48238-2533

Phone

(248) 434-7426

NPI assigned

Jun 14, 2011

Last updated

Mar 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1750676185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13539 SANTA ROSA DR",
            "address_2": "SUITE 343",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382533",
            "telephone_number": "248-434-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13539 SANTA ROSA DR",
            "address_2": "SUITE 343",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382533",
            "telephone_number": "248-434-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703076916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lewis, CNM
• Meagan L Lewis, M.D.
• Mercedes Lewis
• Micah Lewis
• Michelle Lewis, MA, LLP
• Miyrha Lewis
• Monika Anastasia Lewis, P.A.
• Patricia Marie Lewis
• Rhonda Lewis
• Robnetta Michelle Lewis

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.