TRACEY MICHELLE LEWIS (NPI# 1104451483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104451483 |
| Entity Type | Individual |
| Full Name | TRACEY MICHELLE LEWIS |
| Credential | RN |
| Practice Address |
300 Singleton Ridge Rd Conway SC 29526-9142 |
| Practice Telephone | 8433478052 |
| Mailing Telephone | 8433478052 |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2020-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
R90398 | SC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619489994 | Tracey Moraine Lewis | Technician, Other | 1060 Ontario St, Jacksonville, FL 32254-2040 | 2017-10-26 |
| 1336530658 | Tracey Carolyn-lee Lewis | Contractor | 4870 S Village Dr Apt 10, Toledo, OH 43614-4737 | 2015-02-09 |
| 1285626291 | Tracey L Lewis | Ophthalmology | 936 Bichara Blvd, Lady Lake, FL 32159-7714 | 2005-08-16 |
| 1528439346 | Tracey Lee Lewis | Physician Assistant | 102 W Kenwood Ave Ste 100, Decatur, IL 62526 | 2015-10-20 |
| 1447517131 | Tracey S. Lewis | Behavioral Analyst | 730 N Eastern Ave Ste 110, Las Vegas, NV 89101-2885 | 2012-04-18 |
| 1376723411 | Tracey Laverne Lewis | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-11-06 |
| Street Address |
300 SINGLETON RIDGE RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450643 | Kathleen M Chance | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2005-07-12 |
| 1588275101 | Christina Lauren St Clair | Registered Nurse | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-08-17 |
| 1184248569 | Evan Samuel Culp | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-06-02 |
| 1023637352 | Tawsif Nadir | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-16 |
| 1427677053 | Bennett Leanna Haskin | Family Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1174142731 | Jae Hyun Shim | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1891314449 | Eric Yunkwen Choi | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1487273017 | Tooba Anum | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1083242960 | Noman Ghiasi | Family Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-03-27 |
| 1336775154 | Kaila Marnan Robbins | Registered Nurse | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205349610 | Julie Marie Gerlinger | Registered Nurse | 2411 Parkview Cir, Conway, AR 72034-3132 | 2017-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982043 | Alicia Nicole Burkett | Registered Nurse | 125 King George Way, Columbia, SC 29210-4514 | 2020-02-01 |
| 1568014587 | Cathy B Mulloy | Registered Nurse | 3422 Beacon Dr, Sumter, SC 29154-8213 | 2019-07-10 |
| 1366909053 | Maria Regina Vidanes | Registered Nurse | 601 Traditions Way, Columbia, SC 29229-7426 | 2019-02-28 |
| 1114452463 | Marya Janelle Parker | Registered Nurse | 3006 Knightbridge Rd, Columbia, SC 29223-2131 | 2017-04-25 |
| 1508248220 | Derell Letwaun Ford | Registered Nurse | 481 Coachman Dr Apt G, Sumter, SC 29154-6261 | 2015-06-19 |
| 1831576123 | Brian Knight | Registered Nurse | 146 Back Tee Cir, Summerville, SC 29485-6276 | 2015-05-06 |
| 1457534844 | Susan Henry Hancock | Registered Nurse | 1738 Clark Hills Cir, Johns Island, SC 29455-7605 | 2007-12-09 |
| 1841415791 | Vivian Washington | Registered Nurse | 1414 Burclare Rd, Charleston, SC 29412-8147 | 2007-04-16 |
| 1770191652 | Kristina G. Aldrich | Registered Nurse | 830 S Buncombe Rd, Greer, SC 29650-2400 | 2020-07-16 |
| 1174094015 | Stephanie Duehr | Registered Nurse | 109 Bee St, Charleston, SC 29401-5703 | 2018-12-17 |
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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.