Patricia Lewis, F.N.P.
Individual provider Active NPI Family Nurse Practitioner · Bristol, VT
NPI 1780623975 · NPPES record last updated Apr 25, 2013
Key facts
- NPI
- 1780623975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 101-0040354 (VT)
- Practice address
- 61 Pine St
BLDG 4 Suite 400
Bristol, VT 05443-1043 - Phone
- (802) 453-7422
- Fax
- (802) 453-4815
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F332750 | NY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F332750 | NY | |
| Family Nurse Practitioner | 363LF0000X | 101-0040354 | VT | Yes |
Addresses
Primary practice location
61 Pine St
BLDG 4 Suite 400
Bristol, VT 05443-1043
Mailing address
61 Pine St
BLDG 4, Suite 400
Bristol, VT 05443-1043
Phone (802) 453-7422
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02300094 | Medicaid | NY |
Other providers in Bristol, VT
- Jennifer Kiewit
- Elizabeth Knuff
- Rebecca Elisabeth Kodis
- April Kay Lajeunesse
- Bailee Layn
- Live Full Therapies LLC
- Sarah Lynn Livingston
- Kelsey Cathcart Lopez
- Hannah Lucarelli
- Paula Lupinetti-Chadwick
All providers in Bristol, VT · Family Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.