Individual provider Active NPI

Julie Ann Lewis, CFM

  • Mastectomy Fitter
  • Lake Charles, LA
National Provider Identifier
1770207474
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
License
C54176 Issued in MD
Practice address
3518 Ryan St
Lake Charles, LA 70605-1608
Phone
(337) 761-5525
Fax
(972) 982-7066
NPI assigned
Sep 27, 2022
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 001470-2026.0106 LA
Mastectomy Fitter 224900000X C54176 MD Primary

Addresses

Primary practice location

3518 Ryan St
Lake Charles, LA 70605-1608

Mailing address

1488 Texas Eastern Rd
Ragley, LA 70657-7005
Phone (337) 842-3837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C54176MDMDMastectomy Fitter
001470-2026.0106LAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
R & J Lewis LLC Mastectomy Fitter CurrentSince Dec 28, 2022 Accepting new patients
R & J Lewis LLC Durable Medical Equipment & Medical Supplies CurrentSince Mar 19, 2023 Accepting new patients

Locations

617 W Prien Lake Rd
Lake Charles, LA 70601
Phone (972) 982-7066

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, 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": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1770207474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 TEXAS EASTERN RD",
            "city": "RAGLEY",
            "state": "LA",
            "postal_code": "706577005",
            "telephone_number": "337-842-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051608",
            "telephone_number": "337-761-5525",
            "fax_number": "972-982-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CFM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "001470-2026.0106",
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "MD",
            "license": "C54176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.