Individual provider Active NPI

Larry Charles Lewis, REGISTERED

  • Registered Nurse
  • Cleveland HTS, OH
National Provider Identifier
1932413895
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN372910 Issued in OH
Practice address
3364 Berkeley Rd.
Cleveland HTS, OH 44118
Phone
(216) 466-1075
NPI assigned
Aug 3, 2010
Last updated
Aug 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN372910 OH Primary
Registered Nurse 163W00000X RN9286493 FL
Registered Nurse 163W00000X RN0000172719 TN

Addresses

Primary practice location

3364 Berkeley Rd.
Cleveland HTS, OH 44118

Mailing address

3364 Berkeley Rd.
Cleveland HTS, OH 44118
Phone (216) 466-1075

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9286493FLMDRegistered Nurse
RN372910OHMDRegistered Nurse
RN0000172719TNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1932413895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3364 BERKELEY RD.",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "216-466-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364 BERKELEY RD.",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "216-466-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LARRY",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "REGISTERED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN372910",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9286493",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000172719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.