Kimberly A Lewis

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CNA999952457 Issued in AZ

Practice address

5018 W Flynn LN
Glendale, AZ 85301-3410

Phone

(623) 826-4633

NPI assigned

Oct 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Kim A Lewis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quality of Life Specialists, LLC

  • In Home Supportive Care Agency
  • Avondale, AZ
  • NPI 1356198550

  Adult Companion

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1780937318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 W FLYNN LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853013410",
            "telephone_number": "623-826-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 W FLYNN LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853013410",
            "telephone_number": "623-826-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "AZ",
            "license": "CNA999952457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "LEWIS",
            "middle_name": "A",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ali N. Lewandowski, PA-C
• Alyssa Emily Lewellen
• Amy Lewis
• Ian J Lewis, D.O.
• Kathryn Lewis, COTA/L
• Natalie Renee Lewis
• Rashida Lewis
• Aylin Leyva
• Lawrence Duane Lheureux, MD
• Yiwei Li

• Nurse's Aide in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Nurse's Aide in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.