JUDITH G LEWALLEN (NPI# 1093715740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093715740 |
| Entity Type | Individual |
| Full Name | JUDITH G LEWALLEN |
| Other Name | JUDITH G KEETON |
| Credential | FNP |
| Practice Address |
100 Jessie James Blvd Pineville MO 64856 |
| Practice Telephone | 4172237050 |
| Practice Fax Number | 4172237055 |
| Mailing Telephone | 4172237050 |
| Mailing Fax Number | 4172237055 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2012-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 1028 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A03622 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
085477 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 JESSIE JAMES BLVD |
| City | PINEVILLE |
| State | MO |
| Zip Code | 64856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801915244 | Gary David Neymeyer | Optometrist | 342 Commercial Drive, Pineville, MO 64856 | 2007-03-28 |
| 1790811784 | Lifestyle Wellness Center, LLC | Chiropractor | 307 Main Street, Pineville, MO 64856 | 2007-02-26 |
| 1548269046 | Elk River Health Services, Inc. | Clinic/Center | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856 | 2005-07-18 |
| 1780859272 | Lifestyle Wellness Center LLC | Chiropractor | 307 Main Street, Pineville, MO 64856 | 2008-04-25 |
| 1861670317 | State Line Chiropractic Clinic LLC | Chiropractor | 95 Bear Hollow Rd, Pineville, MO 64856 | 2008-02-07 |
| 1104028687 | Norman Alan Smith | Chiropractor | 307 Main St, Pineville, MO 64856 | 2007-06-05 |
| 1548271265 | Wal-mart Stores East Lp | Technician/Technologist | 100 Commercial Dr, Pineville, MO 64856 | 2006-08-10 |
| 1851420525 | Elk River Health Services, Inc. | Family Medicine | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856-0265 | 2007-03-05 |
| 1184740334 | County of Mcdonald | Public Health or Welfare | 500 Olin St, Pineville, MO 64856-0366 | 2007-03-21 |
| 1538319009 | Norman Fredrick Waters | Registered Nurse | 1437 Tyson Rd, Pineville, MO 64856-7014 | 2008-09-22 |
| Find all providers in zip 64856 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728035 | Samantha Hickman | Nurse Practitioner | 448 Willie Clark Rd, Pineville, LA 71360-7136 | 2020-07-26 |
| 1942822788 | Divia L. Smith | Nurse Practitioner | 11611 Stockdale Ct, Pineville, NC 28134-6422 | 2020-05-14 |
| 1477184331 | James Lee Williams | Nurse Practitioner | 251 S Pine St # 606337, Pineville, KY 40977-1646 | 2020-01-30 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1861988537 | Gayle Elliott | Nurse Practitioner | 308 Griffith St, Pineville, LA 71360-5270 | 2018-07-06 |
| 1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
| 1679023311 | Trent Hines | Nurse Practitioner | 204 Chloe Rd, Pineville, LA 71360-5858 | 2016-10-05 |
| 1720335631 | Tammy Marie Roton | Nurse Practitioner | 1135 Expressway Dr Ste 200a, Pineville, LA 71360-6653 | 2012-08-09 |
| 1164729919 | Nyoka S. Dunbar | Nurse Practitioner | 12130 Monkstown Dr, Pineville, NC 28134-7340 | 2011-02-14 |
| Find all providers in PINEVILLE | ||||
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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.