Active NPI
Kendra D Lewis
- Homemaker
- Mastic Beach, NY
National Provider Identifier
1932801669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 67 Diana Dr
Mastic Beach, NY 11951-6308 - Phone
- (631) 235-5091
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | NY | Primary |
Addresses
Primary practice location
67 Diana Dr
Mastic Beach, NY 11951-6308
Mailing address
67 Diana Dr
Mastic Beach, NY 11951-6308
Phone (631) 235-5091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932801669 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adl@Home LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nursing Care Agency
- Mastic Beach, NY
- NPI 1962271528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1932801669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 DIANA DR",
"city": "MASTIC BEACH",
"state": "NY",
"postal_code": "119516308",
"telephone_number": "631-235-5091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 DIANA DR",
"city": "MASTIC BEACH",
"state": "NY",
"postal_code": "119516308",
"telephone_number": "631-235-5091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KENDRA",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932801669",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mastic Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.