Individual provider Active NPI

Stephanie Nicole Lewis, M.D.

  • Emergency Medicine Physician
  • Kansas City, MO
National Provider Identifier
1992094775
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.33385 Issued in AL
Practice address
2301 Holmes
TMC-Hospital Hill
Kansas City, MO 64108-2792
Phone
(816) 404-4175
Fax
(816) 404-0003
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.33385 AL Primary

Addresses

Primary practice location

2301 Holmes
TMC-Hospital Hill
Kansas City, MO 64108-2792

Mailing address

255 Lower Crenshaw Dr
Wetumpka, AL 36092-8258
Phone (334) 328-5281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140929000392 AL Practitioner - Emergency Medicine 4587884432 Reassigns benefits to 2 organizations
I20170914002527 FL Practitioner - Emergency Medicine 4587884432 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.33385ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Nov 15, 2018 Accepting new patients
Southern Alabama Physicians,LLP Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Southern Alabama Physicians LLP Emergency Medicine Current Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Blue Job Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

75 Remit Dr
Chicago, IL 60675

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1992094775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LOWER CRENSHAW DR",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360928258",
            "telephone_number": "334-328-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOLMES",
            "address_2": "TMC-HOSPITAL HILL",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082792",
            "telephone_number": "816-404-4175",
            "fax_number": "816-404-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.33385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.