Beverly Lewis

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

License

BH4850 Issued in AZ

Practice address

27 W Red Mesa TRL
San Tan Valley, AZ 85143-6228

Phone

(480) 579-6590

Fax

(602) 896-2580

NPI assigned

May 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1932555463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 W PEORIA AVE",
            "address_2": "SUITE B147",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294753",
            "telephone_number": "602-283-7117",
            "fax_number": "602-896-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W RED MESA TRL",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436228",
            "telephone_number": "480-579-6590",
            "fax_number": "602-896-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BEVERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "BH4850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauralees Speech Therapy
• Nicole Lawson, M.S.
• Lysandra Jenel Lebaron
• Jennifer Lechtenberg, AT
• Yoonie Lee, CNM
• David Ray Lewis, MD
• Matthew Lewis
• Marta Rebeccah Liang, PA-C
• Life Is a Circle LLC
• Edith Limengka, FNP-C

• Child Mental Illness Respite Care in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Child Mental Illness Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.