JOHN CORBRIDGE LEWIS


Address: 1789 Commerce Dr, Lakeside, AZ 85929-5354
Phone: 9283684400

JOHN CORBRIDGE LEWIS (NPI# 1619436771) 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) 1619436771
Entity Type Individual
Full Name JOHN CORBRIDGE LEWIS
Credential APRN-RNP
Practice Address 1789 Commerce Dr
Lakeside
AZ 85929-5354
Practice Telephone 9283684400
Practice Fax Number 9283684424
Mailing Telephone 9283684400
Enumeration Date 2019-03-18
Last Update Date 2019-03-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
219712 AZ Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1789 COMMERCE DR
City LAKESIDE
State AZ
Zip Code 85929-5354

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689272700 Pediatric Multicare West, LLC Pediatrics 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 2020-10-12
1841836285 Changepoint Integrated Health Community/Behavioral Health 1920 West Commerce Dr, Lakeside, AZ 85929 2019-11-20
1184111692 Statclinix Plc Clinic/Center 3457 W White Mountain Blvd, Lakeside, AZ 85929 2018-04-19
1154827863 Advanced Health and Wellness Az Clinic/Center 4830 Highway 260 Ste 102, Lakeside, AZ 85929 2018-04-02
1740648260 Ries Chiropractic and Rehabilitation Center LLC Point of Service 5658 Hwy 260 Ste 1, Lakeside, AZ 85929 2016-01-29
1912395807 Samuel Jesus Rosero Garcia Family Medicine 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 2014-12-31
1104178326 Ronald T. Watanabe Chiropractor 20 West White Mountain Road, Safeway Pharmacy, Lakeside, AZ 85929 2012-10-11
1962705442 San Tan Behavioral Health Services Non-emergency Medical Transport (VAN) 1277 Hummingbird Circle, Lakeside, AZ 85929 2010-12-06
1609181718 Freter Family Practice Pllc Family Medicine 5448 S. White Mountain Blvd, 270, Lakeside, AZ 85929 2010-08-12
1760701221 Sierra Blanca Rehabilitation LLC Skilled Nursing Facility 3401 N Lockwood Dr, Lakeside, AZ 85929 2010-05-24
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1942819230 Care On Pllc Nurse Practitioner 7171 S 51 Ave, Phoenix, AZ 85339-2923 2020-07-23
1720605231 Sadie Franco Nurse Practitioner 8581 N Rolling River Dr, Tucson, AZ 85743-1451 2020-06-30
1134746951 Leah Beth Richardson Nurse Practitioner 2970 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7831 2020-06-27
1558985036 Amanda Stanford Nurse Practitioner 925 E Mc Dowell Rd, Phoenix, AZ 85006 2020-06-01
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1710522024 Kelsey Conrad Nurse Practitioner 1 E Lexington Ave Unit 1602, Phoenix, AZ 85012-4203 2019-11-11
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Competitor

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City LAKESIDE
Zip Code 85929

Improve Information

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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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