Individual provider Active NPI

Kourtni Lewis, APRN

  • Pediatric Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1932950870
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11032063 Issued in FL
Practice address
15212 E Colonial Dr
Orlando, FL 32826-5518
Phone
(407) 380-1777
Fax
(407) 380-1766
NPI assigned
Mar 28, 2024
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 11032063 FL Primary

Addresses

Primary practice location

15212 E Colonial Dr
Orlando, FL 32826-5518

Mailing address

15212 E Colonial Dr
Orlando, FL 32826-5518
Phone (407) 380-1777

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
11032063FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics of Central Florida P.a. Pediatrics PastSince Sep 5, 2021 Accepting new patients
Pediatrics of Central Florida P.a. Pediatrics Past Accepting new patients
Timber Creek Pediatrics Inc Pediatrics PastSince Dec 24, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1932950870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15212 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328265518",
            "telephone_number": "407-380-1777",
            "fax_number": "407-380-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15212 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328265518",
            "telephone_number": "407-380-1777",
            "fax_number": "407-380-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KOURTNI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11032063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.