Active NPI
Melissa Hunt Lewis, LRT/CTRS
- Recreation Therapist
- New Bern, NC
National Provider Identifier
1881971174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 1253
- Practice address
- 4907 Creekside Dr
New Bern, NC 28562-5007 - Phone
- (252) 675-2635
- Fax
- (252) 514-9804
- NPI assigned
- Nov 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 1253 | NC | Primary |
Addresses
Primary practice location
4907 Creekside Dr
New Bern, NC 28562-5007
Mailing address
PO Box 12153
New Bern, NC 28561-2153
Phone (252) 675-2635
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1253 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1881971174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12153",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285612153",
"telephone_number": "252-675-2635",
"fax_number": "252-514-9804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4907 CREEKSIDE DR",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625007",
"telephone_number": "252-675-2635",
"fax_number": "252-514-9804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MELISSA",
"middle_name": "HUNT",
"name_prefix": "Mrs.",
"credential": "LRT/CTRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NC",
"license": "1253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.