DR. KRISTINA HENDERSON LEWIS (NPI# 1467657999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467657999 |
| Entity Type | Individual |
| Full Name | DR. KRISTINA HENDERSON LEWIS |
| Credential | MD MPH SM |
| Practice Address |
4614 Country Club Rd Winston Salem NC 27104-3520 |
| Mailing Address |
Po Box 602658 Charlotte NC 28260-2658 |
| Practice Telephone | 3367133234 |
| Mailing Telephone | 3367162011 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2015-01409 | NC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 068449 | GA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | L-232046 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
2015-01409 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780243071 | Kristina Lewis | Physical Therapist | 1581 Sycamore Rd, Yorkville, IL 60560-1952 | 2019-06-10 |
| 1912410697 | Kristina Elise Lewis | Student in an Organized Health Care Education/Training Program | 223 Kalamazoo St, East Lansing, MI 48824-5400 | 2017-11-16 |
| 1174919112 | Kristina Lewis | Case Manager/Care Coordinator | 720 Wood St, Eureka, CA 95501-4413 | 2015-04-07 |
| 1811266984 | Kristina Marie Lewis | Social Worker | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2011-12-20 |
| 1124332978 | Kristina A Lewis | Physician Assistant | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2010-08-04 |
| 1316103435 | Kristina Suzanne Lewis | Nurse Practitioner | 661 Sierra Rose Dr, Reno, NV 89511-2060 | 2008-07-29 |
| Street Address |
4614 COUNTRY CLUB RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823547 | William Y Rice IIi | Internal Medicine | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2005-12-29 |
| 1275162299 | Alexandria Jade Sutton | Student in an Organized Health Care Education/Training Program | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2020-04-02 |
| 1619504958 | Matthew Nigel Hugh Ellis | Student in an Organized Health Care Education/Training Program | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2020-03-26 |
| 1609416932 | Emily Stefano | Psychologist | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2020-01-15 |
| 1578113486 | Kayla Hansen | Dietitian, Registered | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2019-09-13 |
| 1356867162 | Michelle Faulkner | Dietitian, Registered | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2017-08-15 |
| 1245681097 | Jeanine Rivituso Kennedy | Dietitian, Registered | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2016-06-23 |
| 1932532553 | Shenelle Alyse Edwards | Clinical Neuropsychologist | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2013-08-19 |
| 1467885244 | Megan H. Ragone | Social Worker | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2013-08-15 |
| 1669712840 | Terrika Dene Stewart Simmons | Nurse Practitioner | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2013-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 207RB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346627973 | Novant Medical Group, Inc. | Internal Medicine | 1710 Kernersville Medical Pkwy Ste 210, Kernersville, NC 27284-7157 | 2015-05-04 |
| 1093141392 | Novant Medical Group, Inc | Internal Medicine | 1910 Jake Alexander Blvd W Ste 201, Salisbury, NC 28147-1165 | 2013-09-18 |
| 1063774461 | Melody Covington | Internal Medicine | 6135 Park South Dr Ste 510, Charlotte, NC 28210-0100 | 2012-06-12 |
| 1023319449 | Novant Medical Group, Inc | Internal Medicine | 911 West Henderson Street, Kiser Building, Suite 410, Salisbury, NC 28144-2700 | 2010-11-17 |
| 1013571587 | Wakemed Specialists Group, LLC | Internal Medicine | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2019-04-30 |
| 1629516067 | Novant Medical Group, Inc | Internal Medicine | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3670 | 2017-02-06 |
| 1932659901 | Novant Medical Group, Inc | Internal Medicine | 5701 W Friendly Ave, Greensboro, NC 27410-4112 | 2016-10-13 |
| 1134594013 | Regional Physicians LLC | Internal Medicine | 300 Gatewood Ave, High Point, NC 27262 | 2015-12-03 |
| 1538545090 | Mission Medical Associates Inc | Internal Medicine | 360 Hospital Dr, Clyde, NC 28721-0107 | 2015-08-07 |
| 1487051298 | Mission Medical Associates Inc. | Internal Medicine | 430 Rankin Dr, Marion, NC 28752-6568 | 2014-11-21 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
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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.