COURTNEY REBECCA LEWIS (NPI# 1710404710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710404710 |
| Entity Type | Individual |
| Full Name | COURTNEY REBECCA LEWIS |
| Credential | COTA |
| Practice Address |
17479 Nw Angle St Blountstown FL 32424-1340 |
| Practice Telephone | 8502094026 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 14070 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508370479 | Courtney Mccormick Lewis | Specialist/Technologist | 5860 Cowell Rd, Brighton, MI 48116-5111 | 2017-11-29 |
| 1699123158 | Courtney Lyn Lewis | Speech-Language Pathologist | 90 Bigley Rd, Shippenville, PA 16254-4902 | 2016-05-25 |
| 1215333786 | Courtney Lewis | Respiratory Therapist, Certified | 1136 Bellshire Dr, Nashville, TN 37207-1611 | 2014-11-11 |
| 1659546398 | Courtney N Lewis | Developmental Therapist | 529 Northride Trl, Lakeland, FL 33813-1561 | 2008-04-24 |
| 1164069993 | Courtney Lewis | Behavior Technician | 912 W Pine St, Hattiesburg, MS 39401-4262 | 2019-11-27 |
| 1275097677 | Courtney Lewis | Physician Assistant | 7777 Forest Ln, Dallas, TX 75230-2571 | 2019-01-30 |
| 1538650338 | Courtney Danielle Lewis | Speech-Language Pathologist | 6144 Route 25a Ste 9b, Wading River, NY 11792-2015 | 2018-05-29 |
| 1437657673 | Courtney Lewis | Genetic Counselor, MS | 4700 Hale Pkwy Ste 400, Denver, CO 80220-4051 | 2018-01-23 |
| 1285146399 | Courtney Leigh Lewis | Occupational Therapist | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2017-10-30 |
| 1225553464 | Courtney Lewis | Nutritionist | 727 Washington St, Watertown, NY 13601-6737 | 2017-08-09 |
| Street Address |
17479 NW ANGLE ST |
| City | BLOUNTSTOWN |
| State | FL |
| Zip Code | 32424-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841738796 | Marsana Brunner | Nurse Practitioner | 16875 Ne Cayson St, Blountstown, FL 32424 | 2017-02-10 |
| 1316395890 | Panhandle Home Care | Home Health | 16364 Sw Chipola Road, Blountstown, FL 32424 | 2016-05-25 |
| 1659743813 | Tender Loving Enrichment Services | Custodial Care Facility | 17434 Nw 11th St, Blountstown, FL 32424 | 2015-10-28 |
| 1992040034 | Heather Montford King | Social Worker | 10611 Nw Sr 20, Bristol, FL 32424 | 2012-11-30 |
| 1821305988 | Senior Dental Care, LLC | Dentist | 20120 Central Avewest, Blountstown, FL 32424 | 2010-09-09 |
| 1164756359 | Amy Kleinrichert Hurt | Speech-Language Pathologist | 19977 N.e. Marie Ave., Blountstown, FL 32424 | 2009-09-22 |
| 1477725315 | Torreya Emergency Physicians | Emergency Medicine | 424 Burns Avenue, Blountstown, FL 32424 | 2008-04-01 |
| 1770793184 | Alexandra Kimbrel | Pharmacist | 20700 Central Ave W, Blountstown, FL 32424 | 2007-05-23 |
| 1770628315 | Howell Stewart Goodman Sr. | Pharmacist | 17324 Main Street North, Blountstown, FL 32424 | 2007-02-21 |
| 1831237825 | Patricia F. Lowther | Speech-Language Pathologist | 5901 Whitfield Ave., Sarasota, FL 32424 | 2007-02-02 |
| Find all providers in zip 32424 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
| 1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
| 1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
| 1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
| 1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
| City | BLOUNTSTOWN |
| Zip Code | 32424 |
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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.