Active NPI
Julie Ann Lewis, CFM
- Mastectomy Fitter
- Lake Charles, LA
National Provider Identifier
1770207474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- License
- C54176
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C54176 | MD | MD | Mastectomy Fitter |
| 001470-2026.0106 | LA | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R & J Lewis LLC | Mastectomy Fitter | Current | Accepting new patients |
| R & J Lewis LLC | Durable Medical Equipment & Medical Supplies | Current | 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.
-
dba Wonderfully Made Mastectomy Care
- Mastectomy Fitter
- Lake Charles, LA
- NPI 1154033322
-
dba Wonderfully Made Mastectomy Care
- Durable Medical Equipment & Medical Supplies
- Lake Charles, LA
- NPI 1285336032
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.