Active NPI
Brittani N Lewis, CMS
- Case Manager/Care Coordinator
- Gallipolis, OH
National Provider Identifier
1982201836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Medicaid | OH |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Outreach Services, LTD | Current | Accepting new patients | |
| Spectrum Outreach Services, LTD | Past | 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.
-
- Community/Behavioral Health Agency
- Ironton, OH
- NPI 1013969666
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Ironton, OH
- NPI 1699254300
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.