Kerry Bryant Lewis, MINISTRY

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

1700 W International Speedway Blvd Ste 404
Daytona Beach, FL 32114-1361

Phone

(356) 257-4311

NPI assigned

Jul 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Edgewater Gazette Inc

  • Pastoral Counselor
  • Daytona Beach, FL
  • NPI 1720659709

  Counselor

  NPD Authorized official

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1992376966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W INTERNATIONAL SPEEDWAY BLVD STE 404",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141361",
            "telephone_number": "386-281-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W INTERNATIONAL SPEEDWAY BLVD STE 404",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141361",
            "telephone_number": "356-257-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KERRY",
        "middle_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "MINISTRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95444626G80154",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Coleman Lewandowski
• Lewis & Klancke Cardiology PA
• Lewis & Klancke Cardiology PA
• Briana Lewis
• Brooke Danielle Lewis
• Larry Lewis
• Lavonne Lewis
• Michelle Mary Olivia Lewis, CF-SLP
• Roger K Lewis, MD
• Shealean Lewis, APRN

• All providers in Daytona Beach, FL
• Pastoral Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; 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.