Individual provider Active NPI

Sandra A Lewis, C.N.M.

  • Advanced Practice Midwife
  • Cape Coral, FL
National Provider Identifier
1992720460
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11006330 Issued in FL
Practice address
1265 Viscaya Pkwy
Cape Coral, FL 33990-3237
Phone
(239) 574-2229
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11006330 FL Primary
Advanced Practice Midwife 367A00000X F001007 NY

Addresses

Primary practice location

1265 Viscaya Pkwy
Cape Coral, FL 33990-3237

Mailing address

1815 S. Clinton Avenue
Suite 610
Rochester, NY 14618-5723
Phone (585) 244-3430

Other practice location 1

1815 S. Clinton Avenue
Suite 610
Rochester, NY 14618-5723
Phone (585) 244-3430

Other identifiers 1

IdentifierTypeStateIssuer
02226231MedicaidNY

Other names 1

  • Ms. Sandra A Houle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050303000880 NY Practitioner - Certified Nurse Midwife (CNM) 9335193200 Reassigns benefits to 2 organizations
I20210219002403 FL Practitioner - Certified Nurse Midwife (CNM) 9335193200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1265 Viscaya Pkwy
Cape Coral, FL 33990-3237
Phone (239) 574-2229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F001007NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Apr 17, 2021 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Apr 8, 2012 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1265 Viscaya Pkwy
Cape Coral, FL 33990
Phone (239) 573-7337

1606 Santa Barbara Blvd
Cape Coral, FL 33991
Phone (239) 574-2229

9021 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 432-5858

3230 Forum Blvd
Fort Myers, FL 33905
Phone (239) 432-5858

1561 Long Pond Rd
Ste 133
Rochester, NY 14626
Phone (585) 723-7670

777 Canal View Blvd
Ste 400
Rochester, NY 14623
Phone (585) 244-3430

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: sandra.lewis.1@2183.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1992720460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S. CLINTON AVENUE",
            "address_2": "SUITE 610",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185723",
            "telephone_number": "585-244-3430",
            "fax_number": "585-244-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 VISCAYA PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903237",
            "telephone_number": "239-574-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 S. Clinton Avenue",
            "address_2": "Suite 610",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146185723",
            "country_code": "US",
            "telephone_number": "585-244-3430",
            "fax_number": "585-244-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SANDRA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11006330",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02226231",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "HOULE",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "C.N.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.