Individual provider Active NPI

Kendra Lewis, FNP-C

  • Family Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1891166278
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129178 Issued in TX
Practice address
170 E Whitestone Blvd
Cedar Park, TX 78613-1900
Phone
(512) 456-7209
NPI assigned
Oct 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 AP129178 TX Primary

Addresses

Primary practice location

170 E Whitestone Blvd
Cedar Park, TX 78613-1900

Mailing address

170 E Whitestone Blvd
Cedar Park, TX 78613-1900
Phone (512) 456-7209

Other practice location 1

7800 Shoal Creek Blvd Ste 130W
Austin, TX 78757-1040
Phone (512) 407-8880

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891166278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E WHITESTONE BLVD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131900",
            "telephone_number": "512-456-7209",
            "fax_number": "512-456-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E WHITESTONE BLVD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131900",
            "telephone_number": "512-456-7209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 Shoal Creek Blvd Ste 130W",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787571040",
            "country_code": "US",
            "telephone_number": "512-407-8880",
            "fax_number": "512-407-8681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KENDRA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.