KYLE LEWIS (NPI# 1457741688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457741688 |
| Entity Type | Individual |
| Full Name | KYLE LEWIS |
| Credential | PA-C |
| Practice Address |
11216 Sunrise Blvd E Ste 3-207 Puyallup WA 98374-8848 |
| Mailing Address |
3209 S 23rd St Ste 340 Tacoma WA 98405-1602 |
| Practice Telephone | 2537703700 |
| Practice Fax Number | 2534357019 |
| Mailing Telephone | 2535032598 |
| Mailing Fax Number | 2534040506 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60520595 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2042164 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740838887 | Kyle Edward Lewis | Physical Therapist | 814 S Perry St Ste D, Castle Rock, CO 80104-1942 | 2019-09-02 |
| 1306491535 | Kyle Lewis | Chiropractor | 1395 N Military Trl, West Palm Beach, FL 33409-6016 | 2019-08-05 |
| 1457812232 | Kyle Lewis | Podiatrist | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2019-03-26 |
| 1538672514 | Kyle Lewis | Social Worker | 450 Humboldt St, Rochester, NY 14610-1114 | 2017-11-13 |
| 1134664188 | Kyle Lewis | Counselor | 127 E Lexington Ave, El Cajon, CA 92020-4511 | 2016-12-29 |
| 1013307826 | Kyle Lewis | Chiropractor | 591 N Shore Dr, Forest Lake, MN 55025-1217 | 2015-02-01 |
| 1871911610 | Kyle Lewis | Emergency Medicine | 1800 East Park Ave, State College, PA 16803-1501 | 2014-03-30 |
| 1295099174 | Kyle Micheal Lewis | Radiology | 25 Michigan St Ne, Suite 2200, Grand Rapids, MI 49503-2515 | 2012-06-26 |
| 1902017924 | Kyle Lewis | Ophthalmology | 2500 N State St, Dept. of Ophthalmology, Jackson, MS 39216-4500 | 2007-05-24 |
| 1124173109 | Kyle Randolph Lewis | Rehabilitation Practitioner | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2007-01-23 |
| Street Address |
11216 SUNRISE BLVD E STE 3-207 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-8848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220003 | Cynthia K Desmond | Physician Assistant | 11216 Sunrise Blvd E, # 3-106, Puyallup, WA 98374-8848 | 2005-10-24 |
| 1346880036 | Joanne K Lopez | Massage Therapist | 11216 Sunrise Blvd E, Puyallup, WA 98374-8848 | 2020-01-09 |
| 1609335413 | Adriana Phillips-rowe | Massage Therapist | 11216 Sunrise Blvd E, Puyallup, WA 98374-8848 | 2019-03-19 |
| 1083151880 | Katy Palmer | Nurse Practitioner | 11216 Sunrise Blvd E, # 3-106, Puyallup, WA 98374-8848 | 2017-01-31 |
| 1760927073 | Celez Suratos | Dietitian, Registered | 11216 Sunrise Blvd E, Suite 209, Puyallup, WA 98374-8848 | 2016-12-21 |
| 1619379021 | Jared Collin Rapier | Physician Assistant | 11216 Sunrise Blvd E, #3-106, Puyallup, WA 98374-8848 | 2014-09-17 |
| 1003244088 | Tranecia Celestine | Massage Therapist | 11216 Sunrise Blvd E, Puyallup, WA 98374-8848 | 2013-10-29 |
| 1215369749 | Rae Ann Iams | Nurse Practitioner | 11216 Sunrise Blvd E, Ste 3-207, Puyallup, WA 98374-8848 | 2013-08-07 |
| 1437401858 | Richard Grant | Counselor | 11216 Sunrise Blvd E, Suite 206, Puyallup, WA 98374-8848 | 2012-10-09 |
| 1134488794 | Garrett Scott Jeffery | Family Medicine | 11216 Sunrise Blvd E, # 3-106, Puyallup, WA 98374 | 2012-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417068263 | Suzanne M Richardson | Physician Assistant | 11216 Sunrise Blvd E Ste 3-102, Puyallup, WA 98374-8848 | 2006-08-31 |
| 1073525424 | Jessica Sawyer | Physician Assistant | 3850 S Meridian, Puyallup, WA 98373-3701 | 2006-08-13 |
| 1134140262 | Karl Herbert Hilsenberg | Physician Assistant | 3801 5th Street Se, Suite 110, Puyallup, WA 98374 | 2006-07-22 |
| 1609834027 | Kevin Bernard Finnigan | Physician Assistant | 17926 69th Ave E, Puyallup, WA 98375-2474 | 2006-05-03 |
| 1720540867 | Jonathan Kendrick Lam | Physician Assistant | 2508 7th St Se, Puyallup, WA 98374-1105 | 2019-04-05 |
| 1003218611 | Scott Nelson | Physician Assistant | 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 | 2014-09-25 |
| 1548685902 | Robert Rex Williams | Physician Assistant | 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 | 2014-02-21 |
| 1477982700 | Melissa Bronoske | Physician Assistant | 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 | 2013-11-07 |
| 1346522752 | Ngim C Carmichael | Physician Assistant | 3908 10th St Se, Puyallup, WA 98374-2188 | 2011-09-12 |
| 1669708277 | Elizabeth Rose Abecassis | Physician Assistant | 1519 3rd St Se Ste 230, Puyallup, WA 98372-3742 | 2009-11-02 |
| Find all providers in PUYALLUP | ||||
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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.