Iysha Michell Lewis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2071814 Issued in AL

Practice address

5617 Princeton Ave
Columbus, GA 31904-3480

Phone

(706) 257-7722

NPI assigned

Jan 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1952015232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 37TH ST APT 504",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368672595",
            "telephone_number": "706-405-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 PRINCETON AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043480",
            "telephone_number": "706-257-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "IYSHA",
        "middle_name": "MICHELL",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AL",
            "license": "2071814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Amorette Lewis
• Annie Mae Lewis, APRN, RN, COSM
• Demetrius Vinde Lewis
• Eugenia Lewis, MS, LPC
• Gregory Lewis
• Jamie Bonner Lewis, FNP-C
• Joseph R. Lewis Jr., MD
• Latoya Lewis
• Letida Lewis, SST I
• Roxanne Collette Lewis, CPS-MH

• Licensed Practical Nurse in Columbus, GA
• Providers in Columbus, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.