Ti'Aesha K Lewis

Primary specialty

Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X

License

9644264 Issued in FL

Practice address

8657 Queensway CT
White Plains, MD 20695-4429

Phone

(240) 579-8072

NPI assigned

May 1, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Tiaesha K Maxwell Former name

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": "1777593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1790622348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8657 QUEENSWAY CT",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206954429",
            "telephone_number": "240-579-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8657 QUEENSWAY CT",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206954429",
            "telephone_number": "240-579-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TI'AESHA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "VA",
            "license": "0002091381",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "9644264",
            "primary": false
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "FL",
            "license": "9644264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIAESHA",
            "last_name": "MAXWELL",
            "middle_name": "K",
            "credential": "RN,LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Destefano Larsen, MD
• Shelby Lawanson
• Eileen Leahy, NP
• Soo Yun Stacy Lee, D.D.S.
• Shanice Renee Levy
• LHG Global, Intl., Inc.
• Lifetime Dental Care of Maryland, Badger, P.C.
• Lincare Inc.
• Birgit J Locklear, LSCW-C
• Ryan Look, DMD

• Clinical Nurse Specialist in White Plains, MD
• Providers in White Plains, MD by specialty
• Clinical Nurse Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.