Individual provider Active NPI

Sedrick Lewis, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1952148884
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0000000000 Issued in CA
Practice address
4301 W Markham St
Little Rock, AR 72205-7199
Phone
(501) 686-7000
NPI assigned
Jul 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0000000000 CA Primary

Addresses

Primary practice location

4301 W Markham St
Little Rock, AR 72205-7199

Mailing address

4301 W Markham St
Little Rock, AR 72205-7199
Phone (501) 686-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CA, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241211000475 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870029010 Reassigns benefits to 1 organization
I20250521003410 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870029010 Reassigns benefits to 3 organizations
I20251229001684 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870029010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweet Dreams Anesthesia IncGroup PAC ID 0042477705, 84 clinicians
Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians

Practice addresses (Care Compare)

12595 Hesperia Rd
Suite 100
Victorville, CA 92395-5882
Phone (760) 881-3377

3355 Riverbend Dr
Suite 510
Springfield, OR 97477-8800
Phone (541) 868-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000000000CAMDNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 5, 2024 Accepting new patients
Comfort Anesthesia Associates Inc CurrentSince May 1, 2025 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
Sda Services of Ca CurrentSince Jul 14, 2025 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Jan 12, 2025 Accepting new patients

Locations

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

10408 Industrial Cir
Redlands, CA 92374
Phone (909) 796-0363

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

12595 Hesperia Rd
Ste 100
Victorville, CA 92395
Phone (760) 881-3377

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

3355 Riverbend Dr
#510
Springfield, OR 97477
Phone (541) 868-9555

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1952148884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057199",
            "telephone_number": "501-686-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057199",
            "telephone_number": "501-686-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SEDRICK",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "0000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.