Lewis Medical of Northeast Louisiana

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F0806153 Issued in LA

Legal business name

LEWIS MEDICAL OF NORTHEAST LOUISIANA

Practice address

470 Springhill Rd
Monroe, LA 71203-9696

Phone

(318) 372-8925

NPI assigned

Aug 20, 2018

Organization subpart

No

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

Authorized official

Name

Brenda K Roberts

Title

Billing Manager

Phone

(318) 381-4759

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Clyde Lewis, FNP

  • Family Nurse Practitioner
  • West Monroe, LA
  • NPI 1881785830
  Medicare reassignment NPD

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1932689965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SPRINGHILL RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712039696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SPRINGHILL RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712039696",
            "telephone_number": "318-372-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS MEDICAL OF NORTHEAST LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "318-381-4759"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "F0806153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Lashay Leonard
• Ashley Lesley
• Brian Thomas Levatino, M.D.
• Cordavidyun Levingston
• Cameron Lewings
• Bedie Lewis
• Bernard Lewis
• Courtney D Lewis
• Dina C Lewis, M.A., PLPC
• Gabriel Lewis

• Nurse Practitioner in Monroe, LA
• Providers in Monroe, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.