Kelly Fuller Lewis, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R7519 Issued in TX

Practice address

3041 Churchill Dr Ste 300
Flower Mound, TX 75022

Phone

(972) 691-1240

Fax

(972) 691-2073

NPI assigned

Jun 9, 2015

Last updated

Oct 1, 2018By the provider in NPPES

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: klewis279185@direct.childrens.com

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.

• 18 And Under MD, PA

  dba 18 & Under MD

  • Pediatrics Physician
  • Flower Mound, TX
  • NPI 1295932325
  NPD (past)

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1992186597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 CHURCHILL DR STE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225906",
            "telephone_number": "972-691-1240",
            "fax_number": "972-691-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 CHURCHILL DR STE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75022",
            "telephone_number": "972-691-1240",
            "fax_number": "972-691-2073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 SW H K Dodgen Loop",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "76502",
            "country_code": "US",
            "telephone_number": "254-935-5063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KELLY",
        "middle_name": "FULLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R7519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelena Letser
• Man Yin Leung
• Myrella Levario
• Lindsay Levine, PT, DPT, OCS
• Brandie Lewis
• Lee Lewis, M.A.M.F.C., LPCI
• Mona Lewis
• Lewisville Obstetrics & Gynecology Associates, PA (Obstetrics & Gynecology Associates)
• Lewisville Obstetrics & Gynecology Associates. P.a. (Obstetrics & Gynecology Associates)
• Lewisville TX Caregiving LLC (Cornerstone Caregiving)

• Pediatrics Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.