Kristi Marie Lewis-Keatts, MHSA, AT, ATC, CFO

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601000031 Issued in MI

Practice address

690 Amsterdam St
Detroit, MI 48202-3410

Phone

(313) 938-3492

NPI assigned

Nov 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kristi Marie Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1912283144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30837 JOY RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857146",
            "telephone_number": "313-570-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 AMSTERDAM ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023410",
            "telephone_number": "313-938-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-KEATTS",
        "first_name": "KRISTI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MHSA, AT, ATC, CFO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "LEWIS",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "MHSA, AT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lewis Home Health Care LLC
• Lewis Insurance Agency LLC
• Lewis Legacy of Love
• Lewis Manor Homes, LTD
• Martika Lewis-Jones
• Akedia L Lewis
• Amie P Lewis
• Andrew Lewis
• Angel Dereka Lewis, CPSS
• Angela Lewis

• Athletic Trainer in Detroit, MI
• Providers in Detroit, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.