KATHLEEN LEWIS (NPI# 1053963611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053963611 |
| Entity Type | Individual |
| Full Name | KATHLEEN LEWIS |
| Practice Address |
46961 Van Dyke Ave Shelby Township MI 48317 |
| Mailing Address |
517 Hawthorn Ave Royal Oak MI 48067-3619 |
| Practice Telephone | 5869915205 |
| Mailing Telephone | 2483760908 |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704313036 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2915 Walton Blvd, Rochester Hills, MI 483091419 | 2487594222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427541960 | Kathleen Lewis | Counselor | 298 Glorietta Blvd, Orinda, CA 94563-3253 | 2018-06-09 |
| 1700296282 | Kathleen Eva Lewis | Physical Therapist | 1824 Coronado Ave., Youngstown, OH 44504-1307 | 2014-05-06 |
| 1013024157 | Kathleen Claire Lewis | Family Medicine | 1701 Four Mile Dr, Williamsport, PA 17701-1940 | 2006-08-24 |
| 1194726125 | Kathleen Elizabeth Lewis | Family Medicine | 1302 E Main St, Endicott, NY 13760-5430 | 2005-08-01 |
| 1063916161 | Kathleen Deaundra Lewis | Technician | 820 Rancho Ln Ste 25, Las Vegas, NV 89106-3806 | 2018-03-22 |
| 1073039954 | Kathleen Lewis | Dietitian, Registered | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2017-08-22 |
| 1215054515 | Kathleen Lewis | Chiropractor | 12114 Venice Blvd, Los Angeles, CA 90066-3812 | 2007-03-23 |
| 1790822385 | Kathleen Lewis | Counselor | 17800 Us Highway 18, Apple Valley, CA 92307-1221 | 2007-01-31 |
| 1265506133 | Kathleen W Lewis | Pediatrics | 3850 California St, San Francisco, CA 94118-1502 | 2006-11-20 |
| 1477643559 | Kathleen Phyllis Lewis | Registered Nurse | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2006-10-13 |
| Street Address |
46961 VAN DYKE AVE |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| 1811353972 | Sophie Griesbeck | Psychologist | 49970 White Mill Rd, Shelby Township, MI 48317 | 2016-01-05 |
| Find all providers in zip 48317 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198378 | Mikaela Moticsak | Nurse Practitioner | 46422 Kramer Dr, Shelby Township, MI 48315-5734 | 2020-06-09 |
| 1679036388 | Alexandra Skerske | Nurse Practitioner | 56612 Edgewood Dr, Shelby Township, MI 48316-5834 | 2019-04-09 |
| 1295912624 | Bethany Anne Musallam | Nurse Practitioner | 15125 22 Mile Rd., Shelby Pediatrics, Shelby Township, MI 48315 | 2008-01-29 |
| 1720149701 | Gail K Makos | Nurse Practitioner | 45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315-6033 | 2006-12-13 |
| 1225542202 | Tsega Negassi Tesfay | Nurse Practitioner | 2177 Auburn Rd, Shelby Township, MI 48317-3813 | 2017-11-28 |
| 1497281935 | Nicole Erin Graessle | Nurse Practitioner | 50505 Schoenherr Rd, Shelby Township, MI 48315 | 2017-05-03 |
| 1043651458 | Diana Scanlon | Nurse Practitioner | 45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315-6033 | 2013-07-13 |
| 1467892257 | Elizabeth Marie Chapp | Nurse Practitioner | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2013-06-26 |
| 1043239932 | Karey Hartford | Nurse Practitioner | 49310 Van Dyke Ave, Shelby Township, MI 48317-1335 | 2006-07-19 |
| 1376597138 | Louise Osbourn | Nurse Practitioner | 50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315-3140 | 2006-05-19 |
| Find all providers in SHELBY TOWNSHIP | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48317 |
Please comment or provide details below to improve the information on KATHLEEN LEWIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.