Nicole M Lewis, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA0000001601 Issued in TN

Practice address

1366 Africa Rd
Lebanon, TN 37087-7308

Phone

(615) 306-7772

NPI assigned

May 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770797102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 AFRICA RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370877308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 AFRICA RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370877308",
            "telephone_number": "615-306-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "OTA0000001601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Christopher Lee, DO
• David Brooks Lehman, DMD
• Holly Delee Lemay-Cranor, OTR/L
• Donna Woodall Lett, M.D.
• Casey Paige Lewis, PHARM. D
• Horton Scott Li, DMD
• Doralyn S Liddell
• Lifetime Hearing Clinic, Inc.
• Manuel Salvador Linarte, DO
• Cassidy Rae Linders, RN, BSN

• Occupational Therapy Assistant in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.