Individual provider Active NPI

Jaime Lynn Lewis, RD, LDN

  • Registered Dietitian
  • Morehead City, NC
National Provider Identifier
1932311248
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
910311 Issued in NC
Practice address
147 NC Highway 24 Ste 101
Morehead City, NC 28557-8982
Phone
(252) 648-8777
Fax
(252) 648-8087
NPI assigned
May 7, 2007
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 910311 NC Primary

Addresses

Primary practice location

147 NC Highway 24 Ste 101
Morehead City, NC 28557-8982

Mailing address

300 Kathryn CT
Newport, NC 28570-9612
Phone (252) 342-8678

Other identifiers 1

IdentifierTypeStateIssuer
1417XOtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121115000610 NC Practitioner - Registered Dietitian Or Nutrition Professional 4486805645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Brody School of Medicine at East Carolina University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Contemporary Nutrition, Inc.Group PAC ID 3577714732, 4 clinicians

Practice addresses (Care Compare)

1425 S Glenburnie Rd
Suite 7
New Bern, NC 28562-2610
Phone (252) 631-5222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
910311NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Nutrition Inc Dietitian, Registered CurrentSince Sep 18, 2012 Accepting new patients
The Hearing Doctors Inc PastSince Sep 6, 2020 Accepting new patients

Locations

925 E Main St
Ste 42
Havelock, NC 28532
Phone (252) 444-4022

147 NC Highway 24
Ste 101
Morehead City, NC 28557
Phone (252) 648-8777

1425 S Glenburnie Rd
Ste 7
New Bern, NC 28562
Phone (252) 631-5222

2608 Neuse Blvd
New Bern, NC 28562
Phone (252) 631-5222

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, 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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1932311248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KATHRYN CT",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "285709612",
            "telephone_number": "252-342-8678",
            "fax_number": "252-444-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 NC HIGHWAY 24 STE 101",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285578982",
            "telephone_number": "252-648-8777",
            "fax_number": "252-648-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JAIME",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "910311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1417X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.