Active NPI
Jerry Lewis Lewis, RN
- Administrator Registered Nurse
- Covington, LA
National Provider Identifier
1992402507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- RN106035
- Practice address
- 19550 N 10TH St
Covington, LA 70433-8831 - Phone
- (985) 892-3947
- Fax
- (504) 518-5749
- NPI assigned
- Feb 14, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | RN106035 | LA | Primary |
Addresses
Primary practice location
19550 N 10TH St
Covington, LA 70433-8831
Mailing address
19550 N 10TH St
Covington, LA 70433-8831
Phone (985) 892-3947
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN106035 | LA | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1992402507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19550 N 10TH ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338831",
"telephone_number": "985-892-3947",
"fax_number": "504-518-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19550 N 10TH ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338831",
"telephone_number": "985-892-3947",
"fax_number": "504-518-5749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JERRY",
"middle_name": "LEWIS",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-14",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "LA",
"license": "RN106035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.