Individual provider Active NPI

Dee Guy Lewis, C-FNP

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1902839848
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10046 Issued in AZ
Practice address
14780 W Mountain View Blvd Ste 110
Surprise, AZ 85374
Phone
(623) 374-7774
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN095208NP GA
Family Nurse Practitioner 363LF0000X AP10046 AZ Primary

Addresses

Primary practice location

14780 W Mountain View Blvd Ste 110
Surprise, AZ 85374

Mailing address

14780 W Mountain View Blvd Ste 110
Surprise, AZ 85374-7280
Phone (623) 374-7774

Other practice location 1

203 Newnan Crossing Bypass
Kaiser Permanente Newnan Medical Center
Newnan, GA 30263
Phone (770) 304-4425

Other practice location 2

203 Newnan Crossing Bypass
Kaiser Permanente Newnan Medical Center
Newnan, GA 30263
Phone (770) 304-4425

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

State licenses

LicenseStateTypeSpecialty
RN095208NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Consultative Services, L.L.C. Family Past Accepting new patients
Lewis Medical Enterprises Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1902839848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 W MOUNTAIN VIEW BLVD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747280",
            "telephone_number": "623-374-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 W MOUNTAIN VIEW BLVD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-374-7774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Newnan Crossing Bypass",
            "address_2": "Kaiser Permanente Newnan Medical Center",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "30263",
            "country_code": "US",
            "telephone_number": "770-304-4425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Newnan Crossing Bypass",
            "address_2": "Kaiser Permanente Newnan Medical Center",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "30263",
            "country_code": "US",
            "telephone_number": "770-304-4425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DEE",
        "middle_name": "GUY",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN095208NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.