MRS. AMY RENEE LEWIS (NPI# 1164793246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164793246 |
| Entity Type | Individual |
| Full Name | MRS. AMY RENEE LEWIS |
| Credential | R.N., ANP, GNP |
| Practice Address |
2800 E Broad St Suite 504 Mansfield TX 76063-6409 |
| Practice Telephone | 8172250410 |
| Practice Fax Number | 8174538866 |
| Mailing Telephone | 8172250410 |
| Mailing Fax Number | 8174538866 |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2014-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
676199 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PTAN | TXB157975 | 01 |
| TX | TEXAS DEPARTMENT OF PUBLIC SAFETY (DPS) CONTROLLED SUBSTANCES RE | V0190197 | 01 |
| TX | US DRUG ENFORCEMENT ADMINISTRATION (DEA) NUMBER | ML2690938 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007936 | Amy Lee Lewis | Speech-Language Pathologist | 884 Plymouth Dr, Jonesboro, GA 30236-5587 | 2020-03-07 |
| 1154983500 | Amy Lynn Lewis | Health Educator | 5299 Easy St, Waunakee, WI 53597-9767 | 2019-07-06 |
| 1477074383 | Amy Michelle Lewis | Social Worker | 1970 Murphy Hill Rd, Langston, AL 35755-7316 | 2017-06-30 |
| 1245611383 | Amy Lewis | Counselor | 4136 W Claremont St, Phoenix, AZ 85019-1420 | 2015-06-15 |
| 1790037869 | Amy Jo Lewis | Registered Nurse | 16250 Ne 74th Street, Redmond, WA 98052 | 2012-10-12 |
| 1639433790 | Amy Lauren Lewis | Dentist | 5023 Market St, Wilmington, NC 28405-3429 | 2012-07-03 |
| 1396012712 | Amy Lynn Lewis | Registered Nurse | 2068 Will Carleton Rd, Flat Rock, MI 48134-9601 | 2011-11-30 |
| 1891079802 | Amy Sue Lewis | Registered Nurse | 34855 N James Ave, Ingleside, IL 60041-9574 | 2011-10-10 |
| 1235453721 | Amy Catherine Demaree Lewis | Nurse Anesthetist, Certified Registered | 5588 Tucker Rd, Department of Surgery, Collegedale, TN 37315-1396 | 2010-03-26 |
| 1518086131 | Amy Lewis | Acupuncturist | 1625 K St Nw Ste 375, Washington, DC 20006-1679 | 2007-03-28 |
| Street Address |
2800 E BROAD ST SUITE 504 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-6409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942287388 | John Tiu | Internal Medicine | 2800 E Broad St, Suite 514, Mansfield, TX 76063-6417 | 2005-12-28 |
| 1740736099 | Kyla Crispe | Physician Assistant | 2800 E Broad St, Ste #124, Mansfield, TX 76063-6414 | 2016-08-28 |
| 1902264732 | Paige Herlihy | Physician Assistant | 2800 E Broad St, Suite 124, Mansfield, TX 76063-6409 | 2016-02-08 |
| 1215392840 | Center for Scoliosis and Advanced Spine Surgery | Orthopaedic Surgery | 2800 E Broad St, 512, Mansfield, TX 76063-6409 | 2015-12-26 |
| 1669857595 | Uyen Ngoc Bao Phan | Physician Assistant | 2800 E Broad St, Suite 124, Mansfield, TX 76063-6409 | 2015-07-21 |
| 1982945127 | Hospitalist Partners of Excellence In Mansfield (h.o.p.e), P.a. | Clinic/Center | 2800 E Broad St, Suite 308, Mansfield, TX 76063-6412 | 2013-03-13 |
| 1902160708 | Helen Kaporis | Dermatology | 2800 E Broad St, Ste 124, Mansfield, TX 76063-6409 | 2012-06-27 |
| 1144541202 | Magdala Poon | Psychiatry & Neurology | 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 | 2010-06-11 |
| 1598913253 | Mansfield Dermatology, Pllc | Dermatology | 2800 E Broad St, Suite 408, Mansfield, TX 76063-6414 | 2008-09-05 |
| 1700040490 | Dallas Oncology Consultants Pa | Internal Medicine | 2800 E Broad St, Suite 212, Mansfield, TX 76063-6409 | 2008-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679055636 | Naphtali Sappy | Nurse Practitioner | 316 Dover Heights Trl, Mansfield, TX 76063-7584 | 2018-09-05 |
| 1114118767 | Laura Leigh Britt | Nurse Practitioner | 1025 S Trimble Rd, Mansfield, OH 44906-3427 | 2007-08-08 |
| 1598863037 | Kimberly Joyce Nelson | Nurse Practitioner | 3001 Saint Lynda Dr, Mansfield, TX 76063-4857 | 2006-09-20 |
| 1083691851 | Christina E Stout | Nurse Practitioner | 600 West Third Street, Mansfield, OH 44906-2633 | 2005-12-22 |
| 1073974564 | Linda Macfarlane | Nurse Practitioner | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2016-03-11 |
| 1417313164 | James Ritchie | Nurse Practitioner | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2016-01-11 |
| 1982024766 | Clinical Bridges Pllc | Nurse Practitioner | 3001 Saint Lynda Dr, Mansfield, TX 76063-4857 | 2014-04-21 |
| 1972847838 | Dashauna Jordan Franklin | Nurse Practitioner | 3001 Saint Lynda Dr, Mansfield, TX 76063-4857 | 2012-11-15 |
| 1922342849 | Barbara Annette Wickham | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2012-11-15 |
| 1033407523 | Shannon Arlene Trzcinski | Nurse Practitioner | 661 S Trimble Rd, Mansfield, OH 44906-3437 | 2011-07-18 |
| Find all providers in MANSFIELD | ||||
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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.