AUDRA BLYE LEWIS (NPI# 1063882280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063882280 |
| Entity Type | Individual |
| Full Name | AUDRA BLYE LEWIS |
| Other Name | AUDRA BUTLER |
| Credential | NP |
| Practice Address |
2714 Union Extd Suite 150 Memphis TN 38112-4431 |
| Mailing Address |
100 Trace Cv Senatobia MS 38668-4180 |
| Practice Telephone | 9017250872 |
| Practice Fax Number | 9012786934 |
| Mailing Telephone | 9012400438 |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R881185 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451786 | Audra Geneva Lewis | Home Health Aide | 534 Ames Blvd, Marrero, LA 70072-1517 | 2020-09-11 |
| 1467995266 | Audra Marie Lewis | Marriage & Family Therapist | 1658 York St, Denver, CO 80206-1410 | 2016-11-28 |
| 1881021293 | Audra R Lewis | Dental Hygienist | 5270 W Baseline Rd, Suite 130, Laveen, AZ 85339-6959 | 2013-09-30 |
| 1336245661 | Audra T Lewis | Physical Therapist | 2120 N Macarthur Blvd, Suite100, Irving, TX 75061-2225 | 2006-09-15 |
| Street Address |
2714 UNION EXTD SUITE 150 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38112-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1457688798 | Ethan Martin Langston | Counselor | 2714 Union Extended, Suite 400, Memphis, TN 38112 | 2009-11-06 |
| 1033345756 | Marquita Lachelle Little | Counselor | 2714 Union Avenue Extension, Suite 400, Memphis, TN 38112 | 2009-06-09 |
| 1366689481 | Open Hand Trans | Non-emergency Medical Transport (VAN) | 2600 Poplar Avenue 325, Memphis, TN 38112 | 2009-01-12 |
| 1952562696 | Christ Community Health Services Inc | Clinic/Center | 2861 Broad Avenue, Christ Community Health Services,inc, Memphis, TN 38112 | 2008-06-24 |
| 1013117225 | Yolanda Anthony-west | Dentist | 1045 Mullins Station Road, Memphis, TN 38112 | 2007-07-25 |
| 1083754634 | Trillium Womancare LLC | Advanced Practice Midwife | 2610 Autumn Avenue, Memphis, TN 38112 | 2007-02-06 |
| 1013066596 | Health Tech Affiliates | Counselor | 2670 Union Extended, Suite 610, Memphis, TN 38112 | 2007-01-10 |
| 1730238320 | James Matthew Doyle | Counselor | 2670 Union Extd Suite 610, Concern Eap, Memphis, TN 38112 | 2007-01-10 |
| 1619025087 | Nancy Whitman Manire | Social Worker | 2670 Union Ext, Suite 610, Memphis, TN 38112 | 2007-01-08 |
| Find all providers in zip 38112 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
| 1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
| 1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
| 1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
| 1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
| 1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
| 1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
| 1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
| 1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
| Find all providers in MEMPHIS | ||||
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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.