MS. DINA REA LEWIS


Address: 1465 South Grand Blvd, St. Louis, MO 63104
Phone: 3145775631

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
106025 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO HEALTH ALLIANCE 149573 01
MO 1225150675 05

Other Providers DINA LEWIS

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

Office Location

Street Address 1465 SOUTH GRAND BLVD
City ST. LOUIS
State MO
Zip Code 63104

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City ST. LOUIS
Zip Code 63104

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Dataset Information

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.

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