Individual provider Active NPI

Martinique Lewis, FNP-C

  • Family Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1851919708
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179668 Issued in VA
Practice address
941 Lake Village Dr Apt B
Chesapeake, VA 23323-4721
Phone
(502) 939-0788
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024179668 VA Primary

Addresses

Primary practice location

941 Lake Village Dr Apt B
Chesapeake, VA 23323-4721

Mailing address

941 Lake Village Dr Apt B
Chesapeake, VA 23323-4721
Phone (502) 939-0788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201223002078 VA Practitioner - Nurse Practitioner 1850703406 Reassigns benefits to 1 organization
I20250430000118 NC Practitioner - Nurse Practitioner 1850703406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manuli Internal Medicine PLLCGroup PAC ID 9032137690, 4 clinicians

Practice addresses (Care Compare)

104 Mill End CT
Elizabeth City, NC 27909-8986
Phone (252) 338-5183

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Tidewater LTD CurrentSince Nov 1, 2020 Accepting new patients
Manuli Internal Medicine, PLLC CurrentSince Apr 28, 2025 Accepting new patients

Locations

104 Mill End Ct
Elizabeth Cty, NC 27909
Phone (252) 338-5183

301 Riverview Ave
Ste 600
Norfolk, VA 23510
Phone (757) 627-7301

6160 Kempsville Cir
Ste 302A
Norfolk, VA 23502
Phone (757) 466-9288

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000397
  • Direct secure messaging: martiniquelewis@natltd.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1851919708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 LAKE VILLAGE DR APT B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233234721",
            "telephone_number": "502-939-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 LAKE VILLAGE DR APT B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233234721",
            "telephone_number": "502-939-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARTINIQUE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.