ELLEN LEWIS (NPI# 1992979793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992979793 |
Entity Type | Individual |
Full Name | ELLEN LEWIS |
Credential | APRN |
Practice Address |
367 Athens Hwy Ste 1050 Loganville GA 30052-2204 |
Mailing Address |
1540 Runnymede Ct Sw Lilburn GA 30047-3300 |
Practice Telephone | 7705542999 |
Mailing Telephone | 7709827516 |
Enumeration Date | 2008-04-14 |
Last Update Date | 2014-10-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN116778 | GA | Physician Assistants & Advanced Practice Nursing Providers |
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 |
1861677973 | Ellen A Lewis | Nurse Practitioner | 1501 Kings Hwy, Department of Otolaryngology, Shreveport, LA 71103-4228 | 2008-01-08 |
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 |
367 ATHENS HWY STE 1050 |
City | LOGANVILLE |
State | GA |
Zip Code | 30052-2204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992981302 | Christopher Alade Ibikunle | Surgery | 367 Athens Hwy, Building 100 Suite 100a, Loganville, GA 30052-2204 | 2008-01-16 |
1124625231 | Roseylee Kuriakose | Nurse Practitioner | 367 Athens Hwy, Loganville, GA 30052-2204 | 2020-10-02 |
1417485491 | Jean Fritznel Cadet | Nurse Practitioner | 367 Athens Hwy, Loganville, GA 30052-2204 | 2017-06-02 |
1164833398 | Surgicare Gwinnett | Clinic/Center | 367 Athens Hwy, Bld 100 Suite B, Loganville, GA 30052-2204 | 2014-05-09 |
1508150509 | Georgia Surgicare | Clinic/Center | 367 Athens Hwy, Building 100 Suite 100a, Loganville, GA 30052-2204 | 2011-06-07 |
1659514263 | Christian Xavier Cruz Pico | Surgery | 367 Athens Hwy, Building 100, Loganville, GA 30052-2204 | 2009-04-13 |
1558539155 | Angelina Postoev | Surgery | 367 Athens Hwy, Bld 100 Suite 100a, Loganville, GA 30052-2204 | 2008-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609482397 | A Better Life Together, Inc | Day Training, Developmentally Disabled Services | 3343 Woodshade Drive, Loganville, GA 30052 | 2020-09-18 |
1184285025 | Felicia Maria Anderson | Counselor | 272 Fox Run, Loganville, GA 30052 | 2019-06-21 |
1225502768 | Jackie Kabahuma Zziwa | Registered Nurse | 4072 Atlanta High Way, Loganville, GA 30052 | 2019-01-17 |
1598243024 | Afolasade A Adeyemo | In Home Supportive Care | 154 Towler Shoals Dr, Loganville, GA 30052 | 2018-08-06 |
1831688654 | Julia Smith | Physician Assistant | 2745 Loganville Hwy, Loganville, GA 30052 | 2018-05-07 |
1306335534 | Emily Jannine Jamshedi | Physician Assistant | 3461 Skyland Ridge Ct, Loganville, GA 30052 | 2018-05-03 |
1346738655 | Laura Martha Avila | Nurse Practitioner | 221 The Esplanade Way Se, Loganville, GA 30052 | 2018-04-23 |
1942738901 | Local Dental Partners, LLC | Clinic/Center | 4353 Atlanta Highway Suite. 300, Loganville, GA 30052 | 2017-06-02 |
1649702804 | Cynthia Reeves | Counselor | 4160 Logan Drive, Loganville, GA 30052 | 2017-03-28 |
1689049330 | Samuel S Kwon - Loganville Dmd PC | Dentist | 2101 Baker Carter Drive, Suite 200, Loganville, GA 30052 | 2015-12-07 |
Find all providers in zip 30052 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023573334 | Courtney Cook | Nurse Practitioner | 4132 Atlanta Hwy Ste 110-199, Loganville, GA 30052-5285 | 2019-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235746009 | Jummai Folashade Akinrinmade | Nurse Practitioner | 5290 Hidden Valley Ln, Cumming, GA 30028-7024 | 2020-09-25 |
1396350997 | Ellen Allen | Nurse Practitioner | 8040 Highway 54, Sharpsburg, GA 30277-2112 | 2020-09-10 |
1588277867 | Saleta Anica Brogdon | Nurse Practitioner | 10 Muirfield Dr, Covington, GA 30016-6536 | 2020-08-26 |
1043828106 | Shonkeisha Byrd | Nurse Practitioner | 1160 Great River Pkwy, Lawrenceville, GA 30045-7015 | 2020-07-15 |
1558982272 | Irene Kamau | Nurse Practitioner | 3605 Glenbarrett Ln Ne, Marietta, GA 30066-8509 | 2020-05-05 |
1891324133 | Branette Young | Nurse Practitioner | 1120 Lehavre Ct, Hampton, GA 30228-3022 | 2020-04-08 |
1851938559 | Sandra Holloway | Nurse Practitioner | 607 Bethany St, Sparks, GA 31647-7139 | 2019-12-02 |
1013550508 | Monica Smart Mills | Nurse Practitioner | 8315 Champion Trl, Fairburn, GA 30213-4739 | 2019-10-28 |
1063053478 | Emily Elizabeth Adams | Nurse Practitioner | 887 W Marietta St Nw, Atlanta, GA 30318-5252 | 2019-10-07 |
1922661800 | Dorcus Healthcare Services LLC | Nurse Practitioner | 105 Greystone Dr, Guyton, GA 31312-5548 | 2019-04-17 |
Find all providers with the same taxonomy |
City | LOGANVILLE |
Zip Code | 30052 |
Please comment or provide details below to improve the information on ELLEN 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.