NICOLE L LEWIS (NPI# 1679860142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679860142 |
| Entity Type | Individual |
| Full Name | NICOLE L LEWIS |
| Credential | M.D. |
| Practice Address |
6475 Camden Ave Ste 105 San Jose CA 95120 |
| Mailing Address |
6475 Camden Ave Ste 105 San Jose CA 95120-2847 |
| Practice Telephone | 4089979155 |
| Mailing Telephone | 4089979155 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C159091 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4301098534 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18917 Joy Rd, Detroit, MI 482283050 | 3134468800 | 3134468810 |
| 24911 Little Mack Ave, Saint Clair Shores, MI 480803200 | 5864479064 | 5864479081 |
| 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 |
| 1023457843 | Nicole Supreme Lewis | Physical Medicine & Rehabilitation | 214 Cresap St, Lakeland, FL 33815-4704 | 2013-06-15 |
| 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 |
6475 CAMDEN AVE STE 105 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386117554 | Karen Patterson | Speech-Language Pathologist | 6052 Cecala Dr, San Jose, CA 95120 | 2019-01-09 |
| 1881116705 | Geetha M Narayanan | Marriage & Family Therapist | 1051 Mountain Shadows Road, San Jose, CA 95120 | 2017-07-12 |
| 1164849592 | Vicente Ceja | Physical Therapist | 6155 Almaden Expy., # 150, San Jose, CA 95120 | 2014-03-24 |
| 1881018562 | Kirsten Cooper | Acupuncturist | 6055 Meridian Ave Ste 30, San Jose, CA 95120 | 2014-02-14 |
| 1699034587 | Mahboobe Ahmadi | Speech-Language Pathologist | 6554 Mcabee Rd., San Jose, CA 95120 | 2012-05-11 |
| 1659677243 | Sundus Ali | Pediatrics | 6489 Camden Ave Ste 102, San Jose, CA 95120 | 2011-01-31 |
| 1851513659 | Abir Tadros | Dentist | 1041 Mazzone Dr., San Jose, CA 95120 | 2007-05-02 |
| 1053472365 | Clara Nancy Andirious | Dentist | 6472 Camden Ave., Suite 100, San Jose, CA 95120 | 2006-12-12 |
| 1104922384 | Timothy Tuan Lai | Dentist | 5945 Almaden Expressway, Suite #160, San Jose, CA 95120 | 2006-09-15 |
| 1528170669 | Broberg Physical Therapy | Occupational Therapist | 6055 Meridian Ave, Suite 110, San Jose, CA 95120 | 2006-08-31 |
| Find all providers in zip 95120 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922658723 | Mai Medical, Inc. | Family Medicine | 2641 Senter Rd, San Jose, CA 95111-1122 | 2019-09-13 |
| 1740712421 | Emily Hsiao | Family Medicine | 276 International Cir Unit D, San Jose, CA 95119-1130 | 2017-03-31 |
| 1629526264 | John Heringer | Family Medicine | 2823 Cardinal Ln, San Jose, CA 95125-4800 | 2016-09-12 |
| 1598152043 | Shoaib Khalid | Family Medicine | 6658 Mount Holly Dr, San Jose, CA 95120-1931 | 2015-04-22 |
| 1942604665 | Kyaw Min | Family Medicine | 2395 Montpelier Dr Ste 4, San Jose, CA 95116-1619 | 2014-10-09 |
| 1679996151 | Qingbo Sui | Family Medicine | 1870 Lundy Avenue, San Jose, CA 95131-1826 | 2014-02-04 |
| 1972938801 | Claudine Lott | Family Medicine | 145 Nicholson Ln, San Jose, CA 95134 | 2013-09-11 |
| 1689016271 | Valerie Halls | Family Medicine | 276 International Cir Unit G, San Jose, CA 95119-1130 | 2013-07-23 |
| 1114366572 | Maryam Kalami | Family Medicine | 1451 Regalo Ct, San Jose, CA 95128-4523 | 2013-06-19 |
| 1750725511 | Sreelata Kintala | Family Medicine | 746 The Alameda Ste 10, San Jose, CA 95126-3178 | 2013-04-24 |
| Find all providers in SAN JOSE | ||||
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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.