MRS. KATIE LYNN LEWIS FNP NPI 1740735844

NPI Information

NPI: 1740735844
Provider Name: MRS. KATIE LYNN LEWIS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
900 E BATTLEFIELD ST STE 124
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 986-1289
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MRS. Katie Lynn Lewis, FNP is a family nurse practitioner in Springfield, MO. MRS. Katie Lynn Lewis, FNP NPI is 1740735844. 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:

900 E BATTLEFIELD ST STE 124
SPRINGFIELD, MO
ZIP 65807-208
Phone: (417) 986-1289

The NPI 1740735844 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), Power Mobility Devices.

The enumeration date for this NPI number is 8/18/2016 and was last updated on 6/11/2019.

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	2085R0202X	Radiology	Diagnostic Radiology	AP8859	ARIZONA	No
2	363L00000X	Nurse Practitioner		AP8859	ARIZONA	No
3	363LF0000X	Nurse Practitioner	Family	AP8859	ARIZONA	No
4	363LF0000X	Nurse Practitioner	Family	2017025483	MISSOURI	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	184503	MEDICAID	ARIZONA

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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