KENNETH ROBERT LEWIS (NPI# 1467064832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467064832 |
| Entity Type | Individual |
| Full Name | KENNETH ROBERT LEWIS |
| Credential | NYCPS-3799 |
| Practice Address |
320 N Goodman St Ste 202320 Rochester NY 14607-1185 |
| Mailing Address |
320 N Goodman St Rochester NY 14607-1185 |
| Practice Telephone | 5853253145 |
| Practice Fax Number | 5852443999 |
| Mailing Telephone | 5853253145 |
| Mailing Fax Number | 5852443999 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | NYCPS-P-3799 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306311840 | Kenneth Paul Lewis | Massage Therapist | 3220 17th St Nw # 10, Washington, DC 20010-2135 | 2018-10-11 |
| 1881123305 | Kenneth Boyd Lewis Jr. | Dentist | 4140 Ramsey St Ste 104, Fayetteville, NC 28311-7658 | 2017-06-08 |
| 1154709350 | Kenneth Lewis | Counselor | 4323 142nd Pl Se, Snohomish, WA 98296-7646 | 2015-05-08 |
| 1629204649 | Kenneth Robert Lewis | Case Manager/Care Coordinator | 9412 W 5th Pl, Kennewick, WA 99336-9603 | 2009-06-04 |
| 1871505529 | Kenneth Dwayne Lewis | Dentist | 1149 E 42nd St, Odessa, TX 79762-7723 | 2006-08-12 |
| 1023097870 | Kenneth B Lewis | Dentist | 4140 Ramsey St, Fayetteville, NC 28311-7658 | 2006-01-11 |
| 1285299081 | Kenneth Lewis | Case Manager/Care Coordinator | 10001 Lake Forest Blvd Ste 607, New Orleans, LA 70127-6201 | 2019-05-07 |
| 1578028486 | Kenneth Lewis | Licensed Practical Nurse | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-02-05 |
| 1952751315 | Kenneth Bryant Lewis | General Practice | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2016-06-16 |
| 1841660693 | Kenneth Lewis | Counselor | 931 Westwood Dr, Suite E, Marrero, LA 70072-2400 | 2015-10-05 |
| Street Address |
320 N GOODMAN ST STE 202320 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14607-1185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
| 1184274920 | Rhodette Gayhart | Technician | 70 Edmonds St., Apt. 2, Rochester, NY 14607 | 2019-09-13 |
| 1194209031 | Amy Knickerbocker | Nurse Practitioner | 224 Alexander St Ste 220, Rochester, NY 14607 | 2018-09-17 |
| 1366948424 | Monekia Michelle Moore | Peer Specialist | 320 North Goodman Street, Rochester, NY 14607 | 2018-04-05 |
| 1386160414 | Meghan Grant | Physical Therapist | 26 Harper Street, Rochester, NY 14607 | 2017-08-21 |
| 1548793722 | Burd Home Health LLC | In Home Supportive Care | 274 N Goodman St Ste A403, Rochester, NY 14607 | 2017-04-05 |
| 1154718799 | Azadeh Shahryarinejad | Social Worker | 16 North Goodman Street, Rochester, NY 14607 | 2015-04-21 |
| 1386086957 | Robert M Kerper Md, Pllc | Internal Medicine | 26 South Goodman Street, Rochester, NY 14607 | 2013-07-24 |
| 1275978058 | Sarah Lynn Fisher | Speech-Language Pathologist | Leap for Kids Ot, Pt & Slp, 372 N. Goodman St., Rochester, NY 14607 | 2013-05-07 |
| 1639410350 | Jonell Mae Belcher | Social Worker | 235 Alexander St Ste 4, Rochester, NY 14607 | 2013-03-05 |
| Find all providers in zip 14607 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292793 | Robert Lee | Peer Specialist | 835 West Main St, Rochester, NY 14611-2335 | 2019-12-17 |
| 1811534670 | Christopher J Clase | Peer Specialist | 3 Stonewood Park Apt D, Rochester, NY 14616-3628 | 2019-11-28 |
| 1467011320 | Vinnie Dunnell Williams | Peer Specialist | 73 Brookfield Rd, Rochester, NY 14610-1015 | 2019-06-13 |
| 1881185122 | Tammy J Demarle | Peer Specialist | 320 N Goodman St Ste 202, Rochester, NY 14607-1186 | 2018-05-22 |
| 1912497223 | Lorrie Boyce | Peer Specialist | 344 N Goodman St, Rochester, NY 14607-1146 | 2018-05-11 |
| 1366948424 | Monekia Michelle Moore | Peer Specialist | 320 North Goodman Street, Rochester, NY 14607 | 2018-04-05 |
| 1366950164 | Tina Amico | Peer Specialist | 687 Lee Rd Ste 185c, Rochester, NY 14606-4258 | 2018-01-15 |
| 1982211850 | Sharon Thaxton | Peer Specialist | 835 W Main St, Rochester, NY 14611-2335 | 2020-09-25 |
| 1932710308 | Megan B Smith | Peer Specialist | 1 Mustard St, Rochester, NY 14609-6980 | 2020-08-11 |
| 1972125326 | Caban Wheeler | Peer Specialist | 835 W Main St, Rochester, NY 14611-2335 | 2020-05-08 |
| Find all providers in ROCHESTER | ||||
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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.