Individual provider Active NPI

Christian Blaine Lewellyn, RN

  • Emergency Registered Nurse
  • Palm City, FL
National Provider Identifier
1831004746
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
RN9679441 Issued in FL
Practice address
10567 SW Whooping Crane Way
Palm City, FL 34990-7806
Phone
(865) 603-3137
NPI assigned
Aug 17, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WE0003X RN9679441 FL Primary

Addresses

Primary practice location

10567 SW Whooping Crane Way
Palm City, FL 34990-7806

Mailing address

10567 SW Whooping Crane Way
Palm City, FL 34990-7806
Phone (865) 603-3137

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

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1831004746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10567 SW WHOOPING CRANE WAY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349907806",
            "telephone_number": "865-603-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10567 SW WHOOPING CRANE WAY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349907806",
            "telephone_number": "865-603-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWELLYN",
        "first_name": "CHRISTIAN",
        "middle_name": "BLAINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9679441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.