JACQUELINE LEWIS (NPI# 1093263071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093263071 |
| Entity Type | Individual |
| Full Name | JACQUELINE LEWIS |
| Credential | NP |
| Practice Address |
2107 N Decatur Rd Suite 120 Decatur GA 30033-5305 |
| Practice Telephone | 4045525128 |
| Practice Fax Number | 4049356149 |
| Mailing Telephone | 4045525128 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN172074 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104943810 | Jacqueline Lenore Lewis | Nursing Home Administrator | 197 E Aiken Rd, Eden, NC 27288-2201 | 2007-03-26 |
| 1295827087 | Jacqueline Lewis | Social Worker | 1600 Sw Archer Rd Rm Hd-118, Gainesville, FL 32610-3003 | 2006-09-29 |
| 1124687710 | Jacqueline Lewis | Peer Specialist | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2019-06-07 |
| 1134691272 | Jacqueline Lewis | Community Health Worker | 1775 Grand Concourse, Bronx, NY 10453-8202 | 2018-12-31 |
| 1760928840 | Jacqueline Lewis | Specialist/Technologist, Other | 1900 Indian Wood Cir Ste 100, Maumee, OH 43537-4033 | 2017-01-12 |
| 1689031957 | Jacqueline Amanda Lewis | Physical Therapy Assistant | 1705 Stevens Ave, Louisville, KY 40205-1044 | 2016-01-18 |
| 1750725990 | Jacqueline Hall Lewis | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2013-04-18 |
| 1649547118 | Jacqueline Lewis | Pharmacist | 3099 N State Road 7, Lauderdale Lakes, FL 33313-1913 | 2011-11-28 |
| 1134385289 | Jacqueline Marie Lewis | Case Manager/Care Coordinator | 2250 4th Ave, San Diego, CA 92101-2124 | 2008-07-29 |
| 1053470336 | Jacqueline Lewis | Social Worker | 2480 Llewellyn Ave, Fort George G Meade, MD 20755-5800 | 2006-12-06 |
| Street Address |
2107 N DECATUR RD SUITE 120 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629072251 | Helene Mcdowell | Occupational Therapist | 2107 N Decatur Rd, Suite422, Decatur, GA 30033-5305 | 2005-06-10 |
| 1629519343 | Georgia Brain and Spine LLC | Specialist | 2107 N Decatur Rd, Unit 448, Decatur, GA 30033-5305 | 2017-03-14 |
| 1649728486 | Nurse Practitioner Now Associates | Nurse Practitioner | 2107 N Decatur Rd, Suite 120, Decatur, GA 30033-5305 | 2016-09-21 |
| 1316369341 | Biologic Behavioral LLC | Psychiatry & Neurology | 2107 N Decatur Rd, Suite 351, Decatur, GA 30033-5305 | 2014-01-10 |
| 1770882797 | Lily Pham | Internal Medicine | 2107 N Decatur Rd, Suite 328, Decatur, GA 30033-5305 | 2011-03-16 |
| 1477765790 | Lily Lan-nhu Pham | Internal Medicine | 2107 N Decatur Rd, Suite 328, Decatur, GA 30033-5305 | 2007-05-07 |
| 1497776132 | James Evans Fuller | Physician Assistant | 2107 N Decatur Rd, #166, Decatur, GA 30033-5305 | 2006-07-21 |
| 1710982277 | Sarah L Hosford | Obstetrics & Gynecology | 2107 N Decatur Rd, Ste 471, Decatur, GA 30033-5305 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| 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 |
|---|---|---|---|---|
| 1427686062 | Tara Cooley | Nurse Practitioner | 909 Tracey Ln, Decatur, AL 35601-7701 | 2020-03-30 |
| 1407489479 | Marathon Health LLC | Nurse Practitioner | 152 Ipsco St, Decatur, AL 35601-7412 | 2020-02-19 |
| 1518502475 | Marissa Lynne Henderson | Nurse Practitioner | 609 Medical Center Dr Ste 2700, Decatur, TX 76234-3839 | 2019-11-14 |
| 1912463456 | Kimberly S Williams | Nurse Practitioner | 4565 Riverwood Cir, Decatur, GA 30035-2935 | 2019-02-20 |
| 1164907242 | Megan Skelley | Nurse Practitioner | 487 Winn Way Ste 202, Decatur, GA 30030-1728 | 2018-09-25 |
| 1508359969 | Rebecca A Voyles | Nurse Practitioner | 575 W Hay St, Decatur, IL 62526-4164 | 2018-06-11 |
| 1598278558 | Vera Mahou | Nurse Practitioner | 4150 Snapfinger Woods Dr Ste 120, Decatur, GA 30035-3417 | 2017-11-13 |
| 1346753738 | Alexis Renee Graven | Nurse Practitioner | 2300 N Edward St Ste 2400, Decatur, IL 62526-4163 | 2017-11-08 |
| 1508240409 | Zachary Pitts | Nurse Practitioner | 2606 Woodridge Dr, Decatur, GA 30033-4835 | 2015-07-10 |
| 1891063095 | Alexis E. Daugherty | Nurse Practitioner | 603 Church St, Decatur, GA 30030-2517 | 2011-12-02 |
| Find all providers in DECATUR | ||||
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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.