Sophie M Lewis

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

141395300 Issued in FL

Practice address

1774 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2255

Phone

(239) 851-4685

NPI assigned

Jun 4, 2013

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

Other identifiers 1

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1942647664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 VERONICA S SHOEMAKER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162255",
            "telephone_number": "239-851-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 VERONICA S SHOEMAKER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162255",
            "telephone_number": "239-851-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SOPHIE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "141395300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141395300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Lewis, OT/L, CHT
• Michael Macleod Lewis, MD
• Michelle Lewis, RN
• Raquel B Lewis, CCC/SLP
• Shari Lewis, ARNP
• Nicole Alessandra Leyva Saro
• Wolf Bourjolly Lezeau, DO
• Li Li, M.D.
• Sui Li, M.D.
• Yu-Hsuan Liao, M.D.

• Adult Care Home Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.