AMANDA GWEN LEWIS (NPI# 1063703502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063703502 |
| Entity Type | Individual |
| Full Name | AMANDA GWEN LEWIS |
| Credential | L.M.T |
| Practice Address |
1900 S Harbor City Blvd Suite 104 Melbourne FL 32901-4749 |
| Mailing Address |
1900 S. Harbor City Boulevard Suite 104 Melbourne FL 32901 |
| Practice Telephone | 3216749900 |
| Mailing Telephone | 3216749900 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA42798 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619458130 | Amanda Maureen Lewis | Counselor | 88 Auckland St Apt 3, Dorchester, MA 02125-3327 | 2018-08-23 |
| 1780178038 | Amanda Lewis | Speech-Language Pathologist | 1781 W Placita De Vanegas, Tucson, AZ 85704-1000 | 2018-06-20 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1902328735 | Amanda S Lewis | Social Worker | 66 Hermans Ln, Crossville, TN 38555-4314 | 2017-07-13 |
| 1780110445 | Amanda Lewis | Physician Assistant | 6086 S Iola Way, Englewood, CO 80111-5705 | 2017-05-02 |
| 1518360171 | Amanda R Lewis | Social Worker | 1405 N Green Mount Rd Ste 230, O Fallon, IL 62269-3494 | 2014-09-26 |
| 1659793032 | Amanda Lewis | Behavioral Analyst | 6915 Shavelson St, Houston, TX 77055-7630 | 2014-01-20 |
| 1972949048 | Amanda Lewis | Allergy & Immunology | 10607 Quaker Ave Unit 102, Lubbock, TX 79424-8465 | 2013-05-16 |
| 1467535138 | Amanda G Lewis | Nurse Practitioner | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2006-10-24 |
| 1427091842 | Amanda Jane Lewis | Dentist | 2220 N Monroe St, Decatur, IL 62526-6304 | 2006-06-14 |
| Street Address |
1900 S HARBOR CITY BLVD SUITE 104 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-4749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055276 | Janet Newquist Hunt | Social Worker | 1900 S Harbor City Blvd, Suite 218, Melbourne, FL 32901-4749 | 2005-07-07 |
| 1407398571 | Coastal Home Health LLC Dba In Home Personal Services | Home Health | 1900 S Harbor City Blvd, Suite 121, Melbourne, FL 32901-4749 | 2016-11-07 |
| 1417307984 | Space Coast Neuropsychology Center Inc | Psychologist | 1900 S Harbor City Blvd, Melbourne, FL 32901-4749 | 2016-06-15 |
| 1033594486 | Madgianna Grant-sommerville | Licensed Practical Nurse | 1900 S Harbor City Blvd, Suite 231, Melbourne, FL 32901-4749 | 2015-07-28 |
| 1467700013 | Christine M Salinas | Clinical Neuropsychologist | 1900 S Harbor City Blvd, Suite 225, Melbourne, FL 32901-4749 | 2012-08-29 |
| 1639406614 | Keenan Ane Mallory | Social Worker | 1900 S Harbor City Blvd, Melbourne, FL 32901-4749 | 2009-11-11 |
| 1063645638 | Natalie Lorraine Lawson-johnson | Massage Therapist | 1900 S Harbor City Blvd, Suite 117, Melbourne, FL 32901-4749 | 2009-08-31 |
| 1366627051 | Carol Walton, Psy.d., P.a. | Psychologist | 1900 S Harbor City Blvd, Suite 203, Melbourne, FL 32901-4749 | 2008-01-01 |
| 1659597623 | Carlisle Chiropractic Center, Inc. | Chiropractor | 1900 S Harbor City Blvd, #109, Melbourne, FL 32901-4749 | 2007-04-18 |
| 1356492441 | Sonya Trudi Taylor | Social Worker | 1900 S Harbor City Blvd, Suite 105, Melbourne, FL 32901-4749 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142638 | Yu Tung Wong | Massage Therapist | 2710 Cozumel Dr Apt 1804, Melbourne, FL 32935-8196 | 2020-10-19 |
| 1841805066 | Jamie Brott | Massage Therapist | 3635 Misty Oak Dr Apt 205, Melbourne, FL 32901-8709 | 2020-09-14 |
| 1730662883 | Donna Jo Billie Secura | Massage Therapist | 1738 Bluebird Ct, Melbourne, FL 32935-4550 | 2018-09-13 |
| 1497259618 | Alexis Janeah Mccreary | Massage Therapist | 3020 Bennett Ln Apt 307, Melbourne, FL 32935-2296 | 2018-03-21 |
| 1508263070 | Trisha Schmalhofer | Massage Therapist | 466 N Harbor City Blvd, Melbourne, FL 32935-6858 | 2014-11-29 |
| 1649679127 | Tamara Gale | Massage Therapist | 260 San Paulo Ct, Melbourne, FL 32904-3944 | 2014-08-20 |
| 1588088256 | Temples Holistic Wellness, LLC | Massage Therapist | 2263 W New Haven Ave # 221, Melbourne, FL 32904-3805 | 2014-02-14 |
| 1639412182 | Roy Alexander Llera | Massage Therapist | 18 W Avenue B, Suite 2, Melbourne, FL 32901-1219 | 2013-04-03 |
| 1548547367 | Kenneth Edwin Muck | Massage Therapist | 1490 Avocado Ave, Melbourne, FL 32935-6532 | 2011-11-08 |
| 1043509011 | Gabriele's Therapeutic Massage Inc | Massage Therapist | 3026 Park Village Way, Melbourne, FL 32935-2266 | 2011-03-30 |
| Find all providers in MELBOURNE | ||||
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| 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.