Taylor Lewis, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0112042 Issued in OK

Practice address

2703 N 14TH St
Ponca City, OK 74601-1738

Phone

(580) 765-9451

NPI assigned

Dec 26, 2018

Last updated

May 13, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Health Systems LLCGroup PAC ID 1355763160, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integris Health Ponca City Hospital, Ponca City, OK, CCN 370006
• Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049
• Stillwater Medical-Blackwell Hospital, Blackwell, OK, CCN 370780

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: taylor.lewis.1@26956.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/21021/brand/1/csg/1/fhir/r4

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.

• Triad Health Systems LLC

  dba Triad Complete Healthcare

  • Family Medicine Physician
  • Ponca City, OK
  • NPI 1245867258
  Medicare reassignment Care Compare group NPD
• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment NPD
• Integrative Family Care LLC

  • Primary Care Nurse Practitioner
  • Ponca City, OK
  • NPI 1235075508
  NPD Authorized official
• Integris Health Ponca City Hospital Inc

  dba Integris Health Ponca City Hospital

  • General Acute Care Hospital
  • Ponca City, OK
  • NPI 1548047616
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Integris Health Ponca City Hospital Inc

  dba Integris Health Ponca City Hospital

  • General Acute Care Hospital
  • Ponca City, OK
  • NPI 1548047616
  Care Compare affiliation
• Stillwater Medical Center Authority

  dba Blackwell Regional Hospital

  • Rural Acute Care Hospital
  • Blackwell, OK
  • NPI 1104375237
  Care Compare affiliation
• Stillwater Medical Center Authority

  dba Stillwater Medical Center

  • General Acute Care Hospital
  • Stillwater, OK
  • NPI 1164494027
  Care Compare affiliation

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1992277297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011738",
            "telephone_number": "580-765-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TAYLOR",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "OK",
            "license": "112042",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0112042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Lee
• Carly Lee, RN
• Latasha Leon, LADC-MH
• Kelly Rae Lesley, M.S.
• Samuel Grady Lewis, RTR,RPA,RA,CBRPA
• Summer Dawn Lieb
• Life Vision
• Limb Salvage International (LSI Foot Clinic #1)
• Limb Salvage International (LSI Clinics)
• Limb Salvage International, Inc (LSI Clinics (LSI Foot, Shoe, Wound or Orthotics))

• Family Nurse Practitioner in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.