Individual provider Active NPI

Pamela Lodell Lewis

  • Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1861244493
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11030237 Issued in FL
Practice address
265 Courtney Lakes Cir Apt 201
West Palm Beach, FL 33401-2392
Phone
(270) 307-5940
NPI assigned
Apr 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 11030237 FL
Nurse Practitioner 363L00000X 11030237 FL Primary

Addresses

Primary practice location

265 Courtney Lakes Cir Apt 201
West Palm Beach, FL 33401-2392

Mailing address

265 Courtney Lakes Cir Apt 201
West Palm Beach, FL 33401-2392
Phone (270) 307-5940

Other practice location 1

3360 Burns Rd
West Palm Beach, FL 33410-4323
Phone (561) 622-1411

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

State licenses

LicenseStateTypeSpecialty
11030237FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1861244493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 COURTNEY LAKES CIR APT 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012392",
            "telephone_number": "270-307-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 COURTNEY LAKES CIR APT 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012392",
            "telephone_number": "270-307-5940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3360 Burns Rd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334104323",
            "country_code": "US",
            "telephone_number": "561-622-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "PAMELA",
        "middle_name": "LODELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "FL",
            "license": "11030237",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11030237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.