ELLEN A LEWIS (NPI# 1861677973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861677973 |
| Entity Type | Individual |
| Full Name | ELLEN A LEWIS |
| Credential | APRN |
| Practice Address |
1501 Kings Hwy Department of Otolaryngology Shreveport LA 71103-4228 |
| Practice Telephone | 3186755000 |
| Mailing Telephone | 3186755000 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2015-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP05349 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICARE - PTAN | 3B473F600 | 01 |
| LA | 1028631 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184836116 | Ellen Jay Lewis | Psychoanalyst | 142 Mount Airy Rd, Bernardsville, NJ 07924-2720 | 2007-05-03 |
| 1801930508 | Ellen R. Lewis | Social Worker | 5601 Nw 72 St, Ste 310, Oklahoma City, OK 73132 | 2007-02-16 |
| 1891873857 | Ellen Lewis | Chiropractor | 178 Myrtle Boulevard, Larchmont, NY 10538 | 2006-11-01 |
| 1700376357 | Ellen Lewis | Psychologist | 2447 Pacific Coast Hwy Ste 111, Hermosa Beach, CA 90254-2743 | 2018-05-18 |
| 1154670453 | Ellen Jo Lewis | Behavioral Analyst | 126 S H St, Lompoc, CA 93436-6821 | 2012-08-31 |
| 1972887511 | Ellen Mina Lewis | Naturopath | 260 Riverside Ave, Westport, CT 06880-4804 | 2011-09-30 |
| 1992979793 | Ellen Lewis | Nurse Practitioner | 367 Athens Hwy, Ste 1050, Loganville, GA 30052-2204 | 2008-04-14 |
| 1336235993 | Ellen R Lewis | Dietitian, Registered | 1 Medical Center Dr, Dhmc Nutrition Services, Lebanon, NH 03756-1000 | 2006-10-04 |
| 1720015951 | Ellen Lewis | Psychologist | 2 Hamill Rd, Suite 326 C, Baltimore, MD 21210-1813 | 2006-06-26 |
| 1639131949 | Ellen G Lewis | Nurse Practitioner | 240 Wareham Rd, Marion, MA 02738-1175 | 2006-04-03 |
| Street Address |
1501 KINGS HWY DEPARTMENT OF OTOLARYNGOLOGY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890769 | F Dean Griffen | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2005-06-09 |
| 1336747625 | Lana Nasief | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-09 |
| 1558968834 | Dinesh Regalla | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-08 |
| 1588261283 | Divleen Sidhu | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-06 |
| 1023624517 | Grace Hoffman | Pharmacist | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-20 |
| 1194330761 | Yousef Hasan | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
| 1790399277 | Ricardo Murguia Fuentes | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
| 1013521509 | Tahir Ahmad | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
| 1376155309 | Ayesha Malik | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-08-20 |
| 1104438324 | Elleny Gutierrez | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
| 1801407325 | Mariagoretti Lumnwi Niba | Nurse Practitioner | 1535 River Parkway Blvd Apt 708, Shreveport, LA 71104-1809 | 2020-08-10 |
| 1437768447 | Sheena Renaye Youngblood | Nurse Practitioner | 1453 E Bert Kouns Industrial Loop Ste 112, Shreveport, LA 71105-6810 | 2020-07-26 |
| 1285265397 | Karen Elizabeth Jordan | Nurse Practitioner | 172 Southfield Rd, Shreveport, LA 71105-3721 | 2020-01-28 |
| 1235776709 | Malene Nilaja Coleman | Nurse Practitioner | 1811 E Bert Kouns Industrial Loop Unit 210, Shreveport, LA 71105-5740 | 2019-12-04 |
| 1417504093 | Roberto Rodriquez Monsanto II | Nurse Practitioner | 3724 Baxter St, Shreveport, LA 71109-7402 | 2019-08-20 |
| 1275188757 | Sara Vergis | Nurse Practitioner | 10453 Keysburg Ct, Shreveport, LA 71106-7785 | 2019-08-02 |
| 1457912800 | Ema-chanel Johnson | Nurse Practitioner | 8219 Spring Valley Cir, Shreveport, LA 71107-8609 | 2019-06-26 |
| 1083170666 | Vanisha Faye Williams | Nurse Practitioner | 8857 Hedges Dr, Shreveport, LA 71118-2008 | 2019-02-19 |
| 1700366655 | Wendy King | Nurse Practitioner | 3060 Duncan Dr, Shreveport, LA 71119-2302 | 2018-08-20 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on ELLEN A 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.