RANDY LEWIS (NPI# 1194186619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194186619 |
| Entity Type | Individual |
| Full Name | RANDY LEWIS |
| Practice Address |
308 Ne 2nd St Wagoner OK 74467-4441 |
| Practice Telephone | 9184854046 |
| Practice Fax Number | 9184858710 |
| Mailing Telephone | 9184854046 |
| Mailing Fax Number | 9184858710 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790712420 | Randy Thomas Lewis | Dentist | 2018-d New Garden Rd, Suite D, Greensboro, NC 27410 | 2006-06-27 |
| Street Address |
308 NE 2ND ST |
| City | WAGONER |
| State | OK |
| Zip Code | 74467-4441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982823431 | Wagoner Public Schools | Public Health or Welfare | 308 Ne 2nd St, Wagoner, OK 74467-4441 | 2007-04-24 |
| 1851831341 | Renee Miller | Speech-Language Pathologist | 308 Ne 2nd St, Wagoner, OK 74467 | 2017-03-02 |
| 1821538513 | Morgan Thompson | Speech-Language Pathologist | 308 Ne 2nd St, Wagoner, OK 74467 | 2017-03-01 |
| 1912447608 | Amanda Berg | Speech-Language Pathologist | 308 Ne 2nd St, Wagoner, OK 74441 | 2017-03-01 |
| 1932648052 | Beau Bowman | Technician | 308 Ne 2nd St, Wagoner, OK 74467 | 2017-02-22 |
| 1639530140 | Phyllis Tottress | Technician | 308 Ne 2nd St, Wagoner, OK 74467-4441 | 2016-03-10 |
| 1740641265 | Cory Allison | Technician | 308 Ne 2nd St, Wagoner, OK 74467-4441 | 2016-03-10 |
| 1205297710 | Isaura Vermillion | Technician | 308 Ne 2nd St, Wagoner, OK 74467-4441 | 2016-03-10 |
| 1326409830 | Kelly Brewer | Technician | 308 Ne 2nd St, Wagoner, OK 74467-4441 | 2016-03-10 |
| 1083075584 | Lisa Smith | Technician | 308 Ne 2nd St, Wagoner, OK 74467-4441 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251591 | Alesha Lenard | Behavior Technician | 901 S. Harrill Ave, Wagoner, OK 74467 | 2019-08-20 |
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1144769399 | Elaina Murray | Technician | 308 Ne 2nd St., Wagoner, OK 74467 | 2017-02-21 |
| 1336699784 | Tommye Evidson | Counselor | 109 Harrill Ave, Wagoner, OK 74467 | 2016-10-10 |
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1396117545 | Sandra Cooper | Behavioral Analyst | 2109 Us-69, Wagoner, OK 74467 | 2015-10-28 |
| 1588051486 | Penny Nye | Counselor | 2109 S.hwy 69, Wagoner, OK 74467 | 2015-04-20 |
| 1376943571 | Justin F Kurtz | Respiratory Therapist, Certified | 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 | 2014-08-26 |
| 1780009969 | David H Good | Family Medicine | 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 | 2014-02-25 |
| 1942598875 | Robin Rodriguez-higginbottom | Speech-Language Pathologist | 215 E Cherokee St, Wagoner, OK 74467 | 2011-07-12 |
| Find all providers in zip 74467 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083112205 | Anthony Wineland | Technician | 601 Se 6th St, Wagoner, OK 74467-6212 | 2018-01-23 |
| 1811405178 | Jordan Hurst | Technician | 500 Bulldog Cir, Wagoner, OK 74467-4522 | 2018-01-19 |
| 1144769399 | Elaina Murray | Technician | 308 Ne 2nd St., Wagoner, OK 74467 | 2017-02-21 |
| 1932648052 | Beau Bowman | Technician | 308 Ne 2nd St, Wagoner, OK 74467 | 2017-02-22 |
| 1639530140 | Phyllis Tottress | Technician | 308 Ne 2nd St, Wagoner, OK 74467-4441 | 2016-03-10 |
| 1740641265 | Cory Allison | Technician | 308 Ne 2nd St, Wagoner, OK 74467-4441 | 2016-03-10 |
| 1205297710 | Isaura Vermillion | Technician | 308 Ne 2nd St, Wagoner, OK 74467-4441 | 2016-03-10 |
| 1326409830 | Kelly Brewer | Technician | 308 Ne 2nd St, Wagoner, OK 74467-4441 | 2016-03-10 |
| 1083075584 | Lisa Smith | Technician | 308 Ne 2nd St, Wagoner, OK 74467-4441 | 2016-03-10 |
| 1043671548 | Sylvia Clark | Technician | 308 Ne 2nd St, Wagoner, OK 74467-4441 | 2016-03-10 |
| Find all providers in WAGONER | ||||
Please comment or provide details below to improve the information on RANDY 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.