MS. DINA REA LEWIS (NPI# 1225150675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225150675 |
Entity Type | Individual |
Full Name | MS. DINA REA LEWIS |
Credential | RNC, NNP |
Practice Address |
1465 South Grand Blvd St. Louis MO 63104 |
Mailing Address |
Po Box 843225 Kansas City MO 64184-3225 |
Practice Telephone | 3145775631 |
Practice Fax Number | 3142686474 |
Mailing Telephone | 7086331234 |
Mailing Fax Number | 7083427100 |
Enumeration Date | 2007-04-05 |
Last Update Date | 2012-09-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
106025 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | HEALTH ALLIANCE | 149573 | 01 |
MO | 1225150675 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710458690 | Dina Lewis | Respiratory Therapist, Registered | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2018-12-17 |
1902384027 | Dina Lewis | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2018-07-31 |
1790141604 | Dina C Lewis | Counselor | 622 Riverside Dr, Monroe, LA 71201-6211 | 2016-01-07 |
1467476317 | Dina Lewis | Social Worker | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 | 2006-07-26 |
Street Address |
1465 SOUTH GRAND BLVD |
City | ST. LOUIS |
State | MO |
Zip Code | 63104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
Find all providers in zip 63104 |
Taxonomy Code | 363LN0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730727314 | Kimberly Diane Mackay | Nurse Practitioner | 1 Childrens Pl Ofc 6100, Saint Louis, MO 63110-1002 | 2019-12-14 |
1578914586 | Robin Wolf | Nurse Practitioner | 740 Francis Pl, Saint Louis, MO 63105-2462 | 2016-06-30 |
1457785867 | Nichole L Powell | Nurse Practitioner | 494 Flowering Magnolia Dr, O Fallon, MO 63366-7599 | 2013-08-21 |
1912256017 | Tiffany L Walker | Nurse Practitioner | 404 Keene Street, Columbia, MO 65201-0000 | 2012-09-05 |
1902116569 | Kenneth Andrew Mosley | Nurse Practitioner | 1505 Se 12th St, Lees Summit, MO 64081-3154 | 2010-10-18 |
1467617894 | Tammy Carol Lentz | Nurse Practitioner | 615 S Ballas Rd, Saint Louis, MO 63122-5314 | 2008-07-24 |
1316985781 | Jacqueline Biondo | Nurse Practitioner | 1608 Sw New Orleans Ave, Lees Summit, MO 64081-2357 | 2006-06-04 |
1376150243 | Casey M Bradshaw | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-25 |
1164036851 | Andrea Bumb | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-09-01 |
1235741513 | Shannon Ries | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-08-19 |
Find all providers with the same taxonomy |
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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.