JESSICA ASHE LEWIS (NPI# 1104484567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104484567 |
| Entity Type | Individual |
| Full Name | JESSICA ASHE LEWIS |
| Other Name | JESSICA NICOLE ASHE |
| Practice Address |
1255 Ga-54 Fayetteville GA 30214 |
| Mailing Address |
525 Glen Iris Dr Ne Unit 2502 Atlanta GA 30308-2976 |
| Practice Telephone | 7707197000 |
| Mailing Telephone | 7702864123 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366095705 | Jessica Ht Lewis | Specialist/Technologist | 2506 Wilson Ave, Claymont, DE 19703-1871 | 2019-07-23 |
| 1750890570 | Jessica Lewis | Counselor | 4949 Stumberg Ln Apt 146, Baton Rouge, LA 70816-4791 | 2017-09-25 |
| 1295193241 | Jessica Lewis | Social Worker | 1525 Kings Hwy Ste 206, Fairfield, CT 06824-5321 | 2016-02-05 |
| 1710359963 | Jessica Raquel Lewis | Physical Therapy Assistant | 1666 Carlyle Dr Apt H, Crofton, MD 21114-1428 | 2015-10-28 |
| 1083043699 | Jessica Lynn Lewis | Counselor | 1002 Sw 14th Pl, Wagoner, OK 74467-7744 | 2013-11-04 |
| 1760799423 | Jessica Nichole Lewis | Speech-Language Pathologist | 721 Old Winberry Rd, Newport, NC 28570-6151 | 2010-09-01 |
| 1639353709 | Jessica Marie Lewis | Licensed Practical Nurse | 473 County Route 23, Constantia, NY 13044-3720 | 2007-12-24 |
| 1326186107 | Jessica Beth Lewis | Marriage & Family Therapist | 167 Cherry St, #121, Milford, CT 06460-3466 | 2007-02-02 |
| 1477154086 | Jessica Javonne Lewis | Chiropractor | 6239 College Ave Ste 201, Oakland, CA 94618-1384 | 2020-11-02 |
| 1740889930 | Jessica Lewis | Pharmacist | 18101 W 119th St, Olathe, KS 66061-9532 | 2020-10-20 |
| Street Address |
1255 GA-54 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689902660 | Shabnam Nourparvar | Emergency Medicine | 1255 Ga-54, Emergency Department, Fayetteville, GA 30214 | 2009-12-02 |
| 1831711076 | Jacob Byrd | Respiratory Therapist, Certified | 1255 Ga-54, Fayetteville, GA 30214 | 2020-05-11 |
| 1073079182 | Christopher Robert Brown | Anesthesiologist Assistant | 1255 Ga-54, Fayetteville, GA 30214 | 2019-02-13 |
| 1205322302 | Joshua Gordon | Anesthesiologist Assistant | 1255 Ga-54, Fayetteville, GA 30214 | 2018-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053630392 | Michael D Keats | Anesthesiologist Assistant | 1255 Highway 54 West, Fayetteville, GA 30214-4548 | 2010-05-26 |
| 1518575737 | Lillie La Marre | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2020-07-14 |
| 1932723285 | Janam Nilesh Patel | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2020-06-02 |
| 1073079182 | Christopher Robert Brown | Anesthesiologist Assistant | 1255 Ga-54, Fayetteville, GA 30214 | 2019-02-13 |
| 1205322302 | Joshua Gordon | Anesthesiologist Assistant | 1255 Ga-54, Fayetteville, GA 30214 | 2018-07-02 |
| 1326532771 | Cheyenne Marie Lukstein | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-06-19 |
| 1407344237 | Stewart T Weisheit | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-04-26 |
| 1598133548 | Virginia Trogdon | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2015-09-08 |
| 1003284498 | Danielle Duncan | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2015-09-02 |
| 1518334564 | Gregory Reid | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2015-08-25 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on JESSICA ASHE 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.