Individual provider Active NPI

Christian Blaine Lewellyn, APRN

  • Nurse Practitioner
  • Palm City, FL
National Provider Identifier
1831004746
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11051498 Issued in FL
Practice address
10567 SW Whooping Crane Way
Palm City, FL 34990-7806
Phone
(865) 603-3137
NPI assigned
Aug 17, 2026
Last updated
Oct 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X APRN11051498 FL Primary
Emergency Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WE0003X RN9679441 FL

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9679441FLMDEmergency Registered Nurse

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": "1792972800000",
    "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": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11051498",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9679441",
            "primary": false
        }
    ],
    "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 Oct 26, 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.