TERRY HUBERT LEWIS (NPI# 1174976773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174976773 |
| Entity Type | Individual |
| Full Name | TERRY HUBERT LEWIS |
| Credential | NP-C |
| Practice Address |
2725 Airview Blvd Portage MI 49002-1803 |
| Mailing Address |
8137 E Cree Lake Dr S Kendallville IN 46755-9721 |
| Practice Telephone | 2693498386 |
| Practice Fax Number | 2693498397 |
| Mailing Telephone | 2693498386 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704238831 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689287682 | Terry Lewis II | Social Worker | 4935 River Overlook Way, Lithonia, GA 30038-6237 | 2020-08-28 |
| 1811445323 | Terry A Lewis | Social Worker | 26771 Howard Chapel Dr, Damascus, MD 20872-1244 | 2016-09-13 |
| 1003877986 | Terry Leonard Lewis | Physician Assistant | 150 2nd Ave, Melba, ID 83641 | 2006-03-30 |
| 1548252497 | Terry Alan Lewis | Obstetrics & Gynecology | 2189 S Avenue A, Yuma, AZ 85364-8308 | 2005-08-17 |
| 1053311183 | Terry Neal Lewis | Optometrist | 14975 Bypass St, Choctaw, OK 73020-8504 | 2005-07-29 |
| 1841735156 | Terry Lewis | Counselor | 907 Pico Blvd, Santa Monica, CA 90405-1326 | 2016-12-21 |
| 1134570666 | Terry Lewis | Counselor | 20288 Highway 15 N Ste 100, Hutchinson, MN 55350-5685 | 2016-06-27 |
| 1467842757 | Terry Lewis Jr. | Occupational Therapist | 5959 Park Ave, Memphis, TN 38119-5200 | 2015-01-26 |
| 1316227804 | Terry Louise Lewis | Pharmacist | 6030 Central Ave, Portage, IN 46368-3501 | 2011-08-28 |
| 1376663021 | Terry T Lewis | Pharmacist | 203 S Main St, Darlington, SC 29532-3953 | 2007-03-29 |
| Street Address |
2725 AIRVIEW BLVD |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972586592 | Maureen Onuigbo | Internal Medicine | 2725 Airview Blvd, Ste 105, Portage, MI 49002-1803 | 2005-11-29 |
| 1245622125 | Grace Hospice of Grand Rapids, LLC | Hospice Care, Community Based | 2725 Airview Blvd, Ste 101, Portage, MI 49002-1804 | 2015-03-02 |
| 1528346053 | Diaa Aldin H Elfaki | Internal Medicine | 2725 Airview Blvd, Ste 105, Portage, MI 49002-1803 | 2011-08-02 |
| 1295965499 | Miriam Yvonne Veldt | Family Medicine | 2725 Airview Blvd, Suite 105, Portage, MI 49002-1085 | 2009-07-22 |
| 1518021724 | Sian Agers Ghosh | Nurse Practitioner | 2725 Airview Blvd, Ste 105, Portage, MI 49002-1085 | 2006-12-21 |
| 1386741346 | Russell K Ameter | Family Medicine | 2725 Airview Blvd, Suite 105, Portage, MI 49002-1803 | 2006-09-20 |
| 1346269586 | Dietmar J Grentz | Family Medicine | 2725 Airview Blvd, Ste 105, Portage, MI 49002-1803 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031367 | Patricia Evelyn Biel | Nurse Practitioner | 5511 Redwood Avenue, Portage, IN 46368-4302 | 2020-04-16 |
| 1366092975 | Rachel Jaynu Nimely-scott | Nurse Practitioner | 5722 Kingman Ave, Portage, IN 46368-1529 | 2019-09-16 |
| 1174082523 | Upstream Health and Wellness, LLC | Nurse Practitioner | 3200 Willowcreek Rd Ste B, Portage, IN 46368-4486 | 2019-03-15 |
| 1972087161 | Danielle R Geroski | Nurse Practitioner | 9900 Huffman Rd, Portage, OH 43451-9739 | 2018-09-24 |
| 1780927889 | Marianne Harman | Nurse Practitioner | 6652 Lakewood Ave, Chhabra Medical Corporation PC, Portage, IN 46368-2404 | 2013-03-27 |
| 1164640884 | Barbara Jane Heric | Nurse Practitioner | 6615 S Boundary Rd, Portage, IN 46368-1373 | 2007-04-20 |
| 1063562585 | Manjerngie Cecelia Ndebe | Nurse Practitioner | 451 W. Milham Ave, Portage, MI 49024 | 2007-01-10 |
| 1982204640 | Kaitlyn Renea Davidson | Nurse Practitioner | 3304 Cooley Ct, Portage, MI 49024-7430 | 2020-10-30 |
| 1467052753 | Courtney Brooke Wyant | Nurse Practitioner | 3304 Cooley Ct, Portage, MI 49024-7430 | 2020-10-27 |
| 1114551777 | Kelsey Lankford | Nurse Practitioner | 7901 Angling Rd, Portage, MI 49024-0714 | 2020-02-23 |
| Find all providers in PORTAGE | ||||
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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.