Individual provider Active NPI

Brittani N Lewis, CMS

  • Case Manager/Care Coordinator
  • Gallipolis, OH
National Provider Identifier
1982201836
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
530 2ND Ave
Gallipolis, OH 45631-1219
Phone
(740) 446-2085
Fax
(740) 446-2292
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH Primary

Addresses

Primary practice location

530 2ND Ave
Gallipolis, OH 45631-1219

Mailing address

214 S 4TH St
Ironton, OH 45638-1610
Phone (740) 532-3767

Other identifiers 1

IdentifierTypeStateIssuer
NAMedicaidOH

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Outreach Services, LTD CurrentSince Jul 20, 2021 Accepting new patients
Spectrum Outreach Services, LTD PastSince Oct 11, 2020 Accepting new patients

Locations

530 2nd Ave
Gallipolis, OH 45631
Phone (740) 441-0200

214 S 4th St
Ironton, OH 45638
Phone (740) 532-3767

Organizations & group practices 2

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1982201836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S 4TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381610",
            "telephone_number": "740-532-3767",
            "fax_number": "740-532-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 2ND AVE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311219",
            "telephone_number": "740-446-2085",
            "fax_number": "740-446-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRITTANI",
        "middle_name": "N",
        "credential": "CMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallipolis, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.