Individual provider Active NPI

Michell Katherine Lewis, CD, RD

  • Registered Dietitian
  • Indianapolis, IN
National Provider Identifier
1942475553
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37001737A Issued in IN
Practice address
6330 E 75TH St
Ste 174
Indianapolis, IN 46250-2781
Phone
(317) 296-7730
Fax
(317) 545-1877
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 37001737A IN Primary

Addresses

Primary practice location

6330 E 75TH St
Ste 174
Indianapolis, IN 46250-2781

Mailing address

8888 Keystone Xing
Ste 1300
Indianapolis, IN 46240-4600
Phone (317) 296-7730

Other names 1

  • Miss Michell Katherine McCaster Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1942475553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 KEYSTONE XING",
            "address_2": "STE 1300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404600",
            "telephone_number": "317-296-7730",
            "fax_number": "317-545-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 E 75TH ST",
            "address_2": "STE 174",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502781",
            "telephone_number": "317-296-7730",
            "fax_number": "317-545-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MICHELL",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "CD, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37001737A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELL",
            "last_name": "MCCASTER",
            "middle_name": "KATHERINE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.