NICOLE SUPREME LEWIS (NPI# 1023457843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023457843 |
| Entity Type | Individual |
| Full Name | NICOLE SUPREME LEWIS |
| Credential | MMP,LMT |
| Practice Address |
214 Cresap St Lakeland FL 33815-4704 |
| Practice Telephone | 8136669505 |
| Mailing Telephone | 8136669505 |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2013-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
MA68381 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465610 | Nicole Kristine Lewis | Nurse Practitioner | 576 Lakeview Blvd, Lake Milton, OH 44429-9689 | 2020-07-24 |
| 1487276481 | Nicole Lewis | Rehabilitation Practitioner | 15300 W Hoff Rd, Manhattan, IL 60442-9326 | 2020-05-12 |
| 1366960627 | Nicole Lewis | Marriage & Family Therapist | 711 Bethlehem Pike Fl 2, Erdenheim, PA 19038-8114 | 2017-09-06 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1588119952 | Nicole Mercep Lewis | Massage Therapist | 1105 Arendell St, Morehead City, NC 28557-4129 | 2016-08-16 |
| 1851756746 | Nicole Alexis Lewis | Occupational Therapist | 2509 Scott Pl, Thousand Oaks, CA 91360-1619 | 2015-12-21 |
| 1427485242 | Nicole Colette Lewis | Nurse Practitioner | 91-1123 Kaimalie St, Ewa Beach, HI 96706-5019 | 2013-10-11 |
| 1679860142 | Nicole L Lewis | Family Medicine | 6475 Camden Ave Ste 105, San Jose, CA 95120 | 2011-07-06 |
| 1891969788 | Nicole Lewis | Massage Therapist | 2402 Broadway St, Vancouver, WA 98663-3229 | 2008-04-22 |
| 1356526792 | Nicole M Lewis | Occupational Therapist | 5053 Jackman Rd, Ida, MI 48140-9742 | 2008-01-04 |
| Street Address |
214 CRESAP ST |
| City | LAKELAND |
| State | FL |
| Zip Code | 33815-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174162093 | Deborah Beall Boynton | Counselor | 219 Hillcrest St, Lakeland, FL 33815 | 2019-12-23 |
| 1992247373 | Lizvel Rosario | Counselor | 220 Lake Wire Dr., Lakeland, FL 33815 | 2016-11-16 |
| 1235554783 | Florida Baptist Children's Homes | Community Based Residential Treatment Facility, Mental Illness | 1015 Sikes Blvd., Lakeland, FL 33815 | 2014-02-20 |
| 1902229255 | Christina Miller | Nurse Practitioner | 6850 New Tampa Hwy Ste 600, Lakeland, FL 33815 | 2014-01-22 |
| 1902111099 | Jeanene Nicole Robinson-kyles | Psychologist | 505 Martin L. King Jr. Ave, Suite 1, Lakeland, FL 33815 | 2010-08-12 |
| 1235287095 | Wendell Owen Blake | Family Medicine | 505 Martin Luther King Ave, Suite 2, Lakeland, FL 33815 | 2007-01-08 |
| 1104983899 | Lake Wire Pharmacy Inc | Pharmacist | 505 Martin Luther King Jr Ave, Suite 3, Lakeland, FL 33815 | 2007-01-02 |
| 1427038637 | Rotech Oxygen and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 5315 Great Oak Drive, Lakeland, FL 33815 | 2006-01-23 |
| 1598205841 | Daphne Toussaint | Dentist | 607 S Missouri Ave, Lakeland, FL 33815 | 2017-03-06 |
| 1083936058 | Blake and Franklin Md Pa | General Practice | 505 Martin Luther King Jr Ave, Ste 2, Lakeland, FL 33815 | 2010-02-18 |
| Find all providers in zip 33815 | ||||
| Taxonomy Code | 2081N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Neuromuscular Medicine |
| A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235539552 | Julie Ann Sanford | Physical Medicine & Rehabilitation | 4414 Florida National Dr, Lakeland, FL 33813-1515 | 2014-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736574 | St. John's Integrated Healthcare | Physical Medicine & Rehabilitation | 11363 San Jose Blvd Ste 102, Jacksonville, FL 32223-7958 | 2020-07-01 |
| 1942688767 | Physicians Services and Rehab Inc | Physical Medicine & Rehabilitation | 506 Se 47th Terr Suite B, Cape Coral, FL 33904 | 2015-05-13 |
| 1114267036 | Non Operative Spine & Neuromuscular Center Pa | Physical Medicine & Rehabilitation | 3785 Airport Pulling Rd N, Suite A, Naples, FL 34105-4518 | 2013-03-01 |
| 1871896167 | Mary Joyce Matthews | Physical Medicine & Rehabilitation | 6565 Sw 51st Ct, Ocala, FL 34474-5770 | 2010-12-08 |
| 1437322393 | Naples Physicians Surgical Group | Physical Medicine & Rehabilitation | 40 Se 5th St, Suite 406, Boca Raton, FL 33432-6003 | 2008-04-10 |
| 1255533618 | Functional Evaluation Testing of Florida, Inc | Physical Medicine & Rehabilitation | 5301 N Federal Hwy Ste 165, Boca Raton, FL 33487-4914 | 2007-06-05 |
| 1073536223 | Ulysses Findley | Physical Medicine & Rehabilitation | 1660 Blanding Blvd, Jacksonville, FL 32210-1835 | 2006-07-26 |
| 1487252235 | Joint Rejuvenation Center LLC | Physical Medicine & Rehabilitation | 15127 S Jog Rd Ste 210, Delray Beach, FL 33446-1251 | 2020-10-14 |
| 1427607134 | Samantha-june Gozo | Physical Medicine & Rehabilitation | 5165 Adanson St, Orlando, FL 32804-1331 | 2019-09-05 |
| 1265896567 | Darin L Bush, D.o., P.a. | Physical Medicine & Rehabilitation | 3101 N Federal Hwy, Suite 201, Oakland Park, FL 33306-1018 | 2016-04-12 |
| Find all providers with the same taxonomy | ||||
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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.