Nicole Lewis, LMP, LMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA24601 Issued in WA

Practice address

2402 Broadway St
Vancouver, WA 98663-3229

Phone

(360) 989-0312

Fax

(360) 567-0620

NPI assigned

Apr 22, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lewis Health Services, Inc

  • Clinic/Center
  • Vancouver, WA
  • NPI 1942567193
  NPD (past) Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370131200000",
    "number": "1891969788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 NE 87TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986622827",
            "telephone_number": "360-989-0312",
            "fax_number": "360-567-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633229",
            "telephone_number": "360-989-0312",
            "fax_number": "360-567-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NICOLE",
        "credential": "LMP, LMT, MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2013-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA24601",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "15323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lewis, RDH
• John A Lewis, DC
• Karina Lewis, LMP
• Laura M Lewis, CDP
• Margarita O Ashirova Lewis, PSY.D.
• Ninoska Alicia Lewis
• Penny Lynn Lewis, M.S., CCC-SLP
• Ryan Lee Lewis, D.M.D
• Shirley Lewis
• Andy Mark Lexow, CDP

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2013; 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.