Individual provider Active NPI

Antonia K. Lewis, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1841302924
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
532304 Issued in TX
Practice address
4513 Vista Ridge Cir
Fort Worth, TX 76179-6438
Phone
(817) 927-8900
Fax
(817) 927-8902
NPI assigned
Aug 31, 2006
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP102683 TX
Certified Registered Nurse Anesthetist 367500000X 532304 TX Primary

Addresses

Primary practice location

4513 Vista Ridge Cir
Fort Worth, TX 76179-6438

Mailing address

4513 Vista Ridge Cir
Fort Worth, TX 76179-6438
Phone (817) 927-8900

Other identifiers 1

IdentifierTypeStateIssuer
145132002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000037 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012967672 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis 360 Medical Solutions PLLCGroup PAC ID 2466674924, 11 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4513 Vista Ridge Cir
Fort Worth, TX 76179-6438
Phone (817) 927-8900

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
532304TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 3, 2025 Accepting new patients
Integrated Medical Professionals 1, LTD Current Accepting new patients
Healthtexas Provider Network CurrentSince Oct 3, 2025 Accepting new patients
Valiant Anesthesia Associates, PLLC CurrentSince Nov 1, 2017 Accepting new patients
Champion Anesthesia Consultants, PLLC CurrentSince Aug 8, 2017 Accepting new patients
Anesthesiology Consultants of North Texas PA Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2017 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
360 Pain and Spine PLLC CurrentSince Jul 8, 2023 Accepting new patients
Stratus Dominion Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Lewis 360 Medical Solutions PLLC CurrentSince Aug 23, 2014 Accepting new patients
Stratus Anesthesia Associates Dallas PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Alliance Anesthesia Associates, PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

10400 N Central Expy
Dallas, TX 75231
Phone (972) 884-4400

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

25 Highland Park Vlg
Ste 100765
Dallas, TX 75205
Phone (214) 219-3747

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

5600 W Lovers Ln
Dallas, TX 75209
Phone (318) 990-9099

2120 Mistletoe Blvd
Unit 2
Fort Worth, TX 76110
Phone (817) 926-6100

3455 Locke Ave
Ste 210
Fort Worth, TX 76107
Phone (817) 529-6200

1001 12th Ave
Ste 170
Ft Worth, TX 76104
Phone (817) 810-0500

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

750 13th Ave
Ft Worth, TX 76104
Phone (817) 334-5050

800 12th Ave
Ste 100
Ft Worth, TX 76104
Phone (817) 810-0770

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

5316 W Plano Pkwy
Plano, TX 75093
Phone (972) 620-1700

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

3009 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (469) 589-1871

1419 N Travis St
Sherman, TX 75092
Phone (469) 947-7463

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

1324 Brown St
Waxahachie, TX 75165
Phone (972) 937-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21996/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1841302924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 VISTA RIDGE CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761796438",
            "telephone_number": "817-927-8900",
            "fax_number": "817-927-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 VISTA RIDGE CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761796438",
            "telephone_number": "817-927-8900",
            "fax_number": "817-927-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANTONIA",
        "middle_name": "K.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP102683",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "532304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145132002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.