Individual provider Active NPI

Sandra Jean Alexander-Lewis, MSN, FNP-C

  • Family Nurse Practitioner
  • Edgewood, KY
National Provider Identifier
1902181258
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007359 Issued in KY
Practice address
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone
(859) 301-8074
Fax
(859) 301-4945
NPI assigned
Oct 19, 2011
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003738A IN
Family Nurse Practitioner 363LF0000X APRN.CNP.024954 OH
Family Nurse Practitioner 363LF0000X 3007359 KY Primary

Addresses

Primary practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

111 Riverview Drive
P.O. Box 1269
Warsaw, KY 41095
Phone (812) 801-9535

Other practice location 1

375 Thomas More Pkwy Fl 205
Crestview Hills, KY 41017-2175
Phone (859) 301-6265

Other practice location 2

635 Chestnut Dr
Walton, KY 41094-7841
Phone (859) 379-0040

Other identifiers 1

IdentifierTypeStateIssuer
3007359OtherKYAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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
I20130318000341 KY Practitioner - Nurse Practitioner 1850476938 Reassigns benefits to 1 organization
I20191219001899 OH Practitioner - Nurse Practitioner 1850476938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

2150 Dixie Hwy
Fort Mitchell, KY 41017-2902
Phone (859) 292-1784

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71003738AINMDFamily Nurse Practitioner
3007359KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Nov 1, 2016 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Nov 1, 2019 Accepting new patients
Russell Harms DPM PC Past Accepting new patients
Clay County Podiatry, LLC Past Accepting new patients

Locations

2150 Dixie Hwy
Ft Mitchell, KY 41017
Phone (859) 292-1784

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

635 Chestnut Dr
Walton, KY 41094
Phone (859) 379-0030

7580 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 233-4420

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: salexanderlewis210307@direct-prd.stelizabeth.com
  • Direct secure messaging: sandra.alexanderlewis@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1902181258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RIVERVIEW DRIVE",
            "address_2": "P.O. BOX 1269",
            "city": "WARSAW",
            "state": "KY",
            "postal_code": "41095",
            "telephone_number": "812-801-9535",
            "fax_number": "859-567-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-301-8074",
            "fax_number": "859-301-4945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Thomas More Pkwy Fl 205",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410172175",
            "country_code": "US",
            "telephone_number": "859-301-6265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 Chestnut Dr",
            "address_purpose": "LOCATION",
            "city": "Walton",
            "state": "KY",
            "postal_code": "410947841",
            "country_code": "US",
            "telephone_number": "859-379-0040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER-LEWIS",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2024-06-13",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003738A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024954",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "3007359",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.