JACK LEWIS (NPI# 1881168789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881168789 |
Entity Type | Individual |
Full Name | JACK LEWIS |
Practice Address |
201 Reinhardt Dr Lafayette LA 70506-4252 |
Mailing Address |
913 Pinecone Dr Modesto CA 95351-1878 |
Practice Telephone | 8005638000 |
Enumeration Date | 2019-01-14 |
Last Update Date | 2019-01-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
1396013413 | Jack Covington Lewis | General Practice | 1100 Woodland Rd, Salisbury, MD 21801-6730 | 2011-12-03 |
1629399100 | Jack Bernard Lewis Jr. | Social Worker | 102 Landing Dr, Woodbury, NJ 08096-6845 | 2010-06-18 |
1790780641 | Jack William Lewis | Dentist | 3600 Caddo St, Greenville, TX 75401-4511 | 2005-06-16 |
1568470433 | Jack Dennis Lewis | Dentist | 1770 E Lambert Rd, #220, Brea, CA 92821-8005 | 2006-08-04 |
1396706487 | Jack Byron Lewis | Urology | 1698 E Mcandrews Rd, Ste 280, Medford, OR 97504-5589 | 2006-03-29 |
Street Address |
201 REINHARDT DR |
City | LAFAYETTE |
State | LA |
Zip Code | 70506-4252 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649627043 | Karli Collins | Specialist/Technologist | 201 Reinhardt Dr, Lafayette, LA 70506-4252 | 2016-05-16 |
1679046247 | Madison Janae Daniel | Specialist/Technologist | 201 Reinhardt Dr, Lafayette, LA 70506-4252 | 2019-01-07 |
1043740509 | Caroline Curtiss | Specialist/Technologist | 201 Reinhardt Dr, Lafayette, LA 70506-4252 | 2017-06-18 |
1164873808 | Carly Natsis | Specialist/Technologist | 201 Reinhardt Dr, Athletic Performance Center-athletic Training Facility, Lafayette, LA 70506-4252 | 2016-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
Find all providers in zip 70506 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831726082 | Alyse Meaux | Student in an Organized Health Care Education/Training Program | 99 Wentworth Blvd, Lafayette, LA 70508-4862 | 2020-03-26 |
1780210682 | Katelyn Petitfils Joubert | Student in an Organized Health Care Education/Training Program | 112 Soho Cir, Lafayette, LA 70508-4200 | 2020-03-23 |
1568098911 | Nathan Fletcher | Student in an Organized Health Care Education/Training Program | 3366 Mt Diablo Blvd # B404, Lafayette, CA 94549-4028 | 2020-03-18 |
1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
1194286955 | Christopher James Clark | Student in an Organized Health Care Education/Training Program | 2390 W Congress St # 2, Lafayette, LA 70506-4205 | 2019-03-26 |
1841759099 | Jeremy White | Student in an Organized Health Care Education/Training Program | 109 Adonis Dr, Lafayette, LA 70506-5402 | 2019-03-18 |
1225597446 | Kelsey Doguet | Student in an Organized Health Care Education/Training Program | 109 Saint Michael St, Lafayette, LA 70506-4743 | 2019-03-18 |
1841755824 | Madison Tilley | Student in an Organized Health Care Education/Training Program | 3661 Stonegate Ct, Lafayette, IN 47909-7212 | 2019-02-05 |
1114491685 | Mallory Mancuso | Student in an Organized Health Care Education/Training Program | 110 Lana Dr, Lafayette, LA 70503-4505 | 2019-01-17 |
1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
Find all providers in LAFAYETTE |
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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.