MRS. SHAUNDA L. LEWIS (NPI# 1255315883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255315883 |
| Entity Type | Individual |
| Full Name | MRS. SHAUNDA L. LEWIS |
| Credential | A.P.R.N., B.C. |
| Practice Address |
644 Highway 114 S Scotts Hill TN 38374-5023 |
| Mailing Address |
644 Highway 114 S P. O. Box 99 Scotts Hill TN 38374-5023 |
| Practice Telephone | 7315493191 |
| Practice Fax Number | 7315493005 |
| Mailing Telephone | 7315493191 |
| Mailing Fax Number | 7315493005 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2011-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN0000005099 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD OF | 4035615 | 01 |
| TN | 3341695 | 05 |
| Street Address |
644 HIGHWAY 114 S |
| City | SCOTTS HILL |
| State | TN |
| Zip Code | 38374-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124002928 | Linda S Siegl | Nurse Practitioner | 644 Highway 114 S, Scotts Hill, TN 38374-5023 | 2005-12-05 |
| 1467063495 | Lexington Hospital Corporation | Clinic/Center | 644 Highway 114 S, Scotts Hill, TN 38374-5023 | 2020-08-13 |
| 1134505514 | Jessica Stanfill | Clinical Nurse Specialist | 644 Highway 114 S, Scotts Hill, TN 38374-5023 | 2015-08-07 |
| 1396708830 | Scotts Hill Clinic, Inc. | Nurse Practitioner | 644 Highway 114 S, Scotts Hill, TN 38374-5023 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518400092 | Fpsh Inc | Pharmacy | 10091 Tn-100, Scotts Hill, TN 38374 | 2016-12-01 |
| 1285014241 | The Grove Primary Care Clinic LLC | Clinic/Center | 9458 Highway 100, Scotts Hill, TN 38374 | 2015-06-04 |
| 1275665846 | Carol G Burkhead | Nurse Practitioner | 644 Hwy 114 South, Scotts Hill Clinic, Scotts Hill, TN 38374-0099 | 2007-03-09 |
| 1255685384 | Scotts Hill Discount Drugs LLC | Pharmacy | 640 Highway 114 South, Scotts Hill, TN 38374-5023 | 2012-10-26 |
| 1730294778 | Greg Edgin | Pharmacy | 640 Highway 114 S, Scotts Hill, TN 38374-5023 | 2006-08-20 |
| 1326568593 | Janey J. Allen | Pharmacist | 640 Highway 114 S, Scotts Hill, TN 38374-5023 | 2017-06-20 |
| 1013102060 | Gregory Leon Edgin | Pharmacist | 640 Highway 114 S, Scotts Hill, TN 38374-5023 | 2007-09-12 |
| 1548515760 | Carolyn Joy Daws | Contractor | 5110 Rogers Rd, Scotts Hill, TN 38374-5082 | 2012-07-14 |
| 1760739320 | Laura Brasher | Nurse Practitioner | 9458 Highway 100, Scotts Hill, TN 38374-6443 | 2012-08-13 |
| 1992338644 | Premier Family Care Inc. | Family Medicine | 9458 Highway 100, Scotts Hill, TN 38374-6443 | 2020-02-20 |
| Find all providers in zip 38374 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982658 | Kirsten Marie Doerfer | Nurse Practitioner | 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 | 2020-11-06 |
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 1033724349 | Tatum Lee Severino I | Nurse Practitioner | 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 | 2020-09-14 |
| 1871106930 | Munira Asif | Nurse Practitioner | 874 Schilling Farm Rd Apt 106, Collierville, TN 38017-7039 | 2020-08-28 |
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1578197836 | Jessica Pratt | Nurse Practitioner | 512 Marbury Rd, Tullahoma, TN 37388-2142 | 2020-02-26 |
| 1730729278 | Anna Abigail Markus | Nurse Practitioner | 211 Long Branch Rd, Lawrenceburg, TN 38464-5400 | 2020-01-13 |
| 1023653037 | Staci Garner | Nurse Practitioner | 2508 Highway 130, Petersburg, TN 37144-8001 | 2019-11-13 |
| 1881238533 | Janna Rae Haskins | Nurse Practitioner | 5137 Vinnie Dell Drive, Chapel Hill, TN 37034 | 2019-11-05 |
| 1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTS HILL |
| Zip Code | 38374 |
Please comment or provide details below to improve the information on MRS. SHAUNDA L. 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.