PETRINA CELESTE LEWIS DPM NPI 1215935457

NPI Information

NPI: 1215935457
Provider Name: PETRINA CELESTE LEWIS, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
9343 E SHEA BLVD # B-130
SCOTTSDALE, AZ
ZIP 85260
Phone: (425) 277-3668
Get Directions

Petrina Celeste Lewis, DPM is a podiatrist in Scottsdale, AZ. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Petrina Celeste Lewis, DPM NPI is 1215935457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9343 E SHEA BLVD # B-130
SCOTTSDALE, AZ
ZIP 85260-802
Phone: (425) 277-3668
Fax: (425) 277-0732

The NPI 1215935457 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/12/2005 and was last updated on 7/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		P000000595	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	156354	OTHER	WASHINGTON	DEPT OF L&I
2	7110729	MEDICAID	WASHINGTON
3	POD000986	OTHER	ARIZONA	PODIATRY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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