KELLY LEWIS (NPI# 1184109191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184109191 |
| Entity Type | Individual |
| Full Name | KELLY LEWIS |
| Practice Address |
649 W Mission Ave Escondido CA 92025-1610 |
| Mailing Address |
13970 Mennonite Pt San Diego CA 92129-3134 |
| Practice Telephone | 7607403000 |
| Mailing Telephone | 8587037263 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
95120156 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124567417 | Kelly Lewis | Behavioral Analyst | 4971 Driftwood Ct, Oakley, CA 94561-1918 | 2017-02-20 |
| 1992186597 | Kelly Fuller Lewis | Pediatrics | 3041 Churchill Dr Ste 300, Flower Mound, TX 75022 | 2015-06-09 |
| 1952664781 | Kelly Lewis | Specialist | 27 Wyandanch Blvd, Smithtown, NY 11787-3918 | 2012-06-18 |
| 1831473875 | Kelly Michelle Lewis | Occupational Therapist | 11935 E Mn Ave, Climax, MI 49034-9721 | 2011-10-10 |
| 1124347950 | Kelly Lewis | Dentist | 1325 Milton St, Pittsburgh, PA 15218-1234 | 2010-05-18 |
| 1770527996 | Kelly Marie Lewis | Dietitian, Registered | Palmetto Health Richland, 3301 Harden Street 5 Medical Park, Coulmbia, SC 29203 | 2006-06-16 |
| 1710587365 | Kelly Carole Lewis | Pharmacist | 103 Bryant Dr, Nicholasville, KY 40356-8058 | 2020-10-31 |
| 1629614441 | Kelly Lewis | Case Manager/Care Coordinator | 55 Westchester Sq, Bronx, NY 10461-3525 | 2019-11-27 |
| 1811542210 | Kelly A Lewis | Student in an Organized Health Care Education/Training Program | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2019-08-03 |
| 1104389451 | Kelly Jo Lewis | Registered Nurse | 943 Hualapai Way, Peach Springs, AZ 86434 | 2019-04-12 |
| Street Address |
649 W MISSION AVE |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053639617 | Mary Langlois | Dietitian, Registered | 649 W Mission Ave, Suite 7, Escondido, CA 92025-1610 | 2010-05-06 |
| 1427368919 | Alissa Johnson | Dietitian, Registered | 649 W Mission Ave, Escondido, CA 92025-1610 | 2010-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811294630 | Jean Denise Barke | Registered Nurse | 463 N Midway Dr, Escondido, CA 92027-2679 | 2011-02-14 |
| 1366761322 | Vivianne Jakobs | Registered Nurse | 606 E Valley Pkwy, Escondido, CA 92025-3008 | 2010-05-28 |
| 1528206448 | John Milios | Registered Nurse | 606 E Valley Pkwy, Escondido, CA 92025-3008 | 2009-01-30 |
| 1588840110 | Hanna Khazaeli | Registered Nurse | 606 E Valley Pkwy, Escondido, CA 92025-3008 | 2008-01-14 |
| 1598885238 | Kathleen Rae Roche | Registered Nurse | 606 E Valley Pkwy, Escondido, CA 92025-3008 | 2007-03-29 |
| 1841320033 | Martha Patricia Magos-brewer | Registered Nurse | 606 E Valley Pkwy, Escondido, CA 92025-3008 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361430 | Marilyn Dormubari Sunday | Registered Nurse | 7511 Clear Lake Aly, Sacramento, CA 95829-8743 | 2020-09-16 |
| 1992315451 | Michelle Patino | Registered Nurse | 615b 2nd St, Petaluma, CA 94952-5123 | 2020-08-08 |
| 1144846080 | Paloma Beope Soriano | Registered Nurse | 4302 Valeta St, San Diego, CA 92107-1510 | 2020-06-16 |
| 1942822747 | Holly Sears Chisholm | Registered Nurse | 9619 Cuyamaca St # 19428, Santee, CA 92071-2674 | 2020-05-14 |
| 1952937658 | Mariam Gbaty Soumahoro | Registered Nurse | 3800 Silver Spur Way, Sacramento, CA 95841-4411 | 2020-03-14 |
| 1194350967 | Letisha Kathleen Kingsbury | Registered Nurse | 724 Granada Dr, Vista, CA 92083-4731 | 2020-03-11 |
| 1215576236 | Jocelyn Raquel Raedeker-freitas | Registered Nurse | 3165 B St, San Diego, CA 92102-2359 | 2019-12-23 |
| 1861030710 | Michelle Galang | Registered Nurse | 658 Rainbow Dr, Chula Vista, CA 91911-6844 | 2019-12-11 |
| 1023655172 | David Delgado | Registered Nurse | 27425 Bolandra Ct, Temecula, CA 92591-6123 | 2019-12-09 |
| 1104473297 | Shokoufeh Shokri | Registered Nurse | 2951 Mainway Dr, Los Alamitos, CA 90720-4646 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELLY LEWIS.
| 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.