SAMANTHA SHARRON LEWIS (NPI# 1730585035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730585035 |
| Entity Type | Individual |
| Full Name | SAMANTHA SHARRON LEWIS |
| Credential | APRN |
| Practice Address |
1484 Lakeside Drive Jackson KY 41339-6555 |
| Mailing Address |
Po Box 690 Beattyville KY 41311-0690 |
| Practice Telephone | 6066669950 |
| Practice Fax Number | 6066669136 |
| Mailing Telephone | 6064640151 |
| Mailing Fax Number | 6064640152 |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3009079 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100332490 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 265 Highway 15 S, Jackson, KY 413397370 | 6064649950 | 6066669136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215416391 | Samantha Lewis | Marriage & Family Therapist | 530 Dewitt Ave Ste 101, Clovis, CA 93612-1857 | 2018-08-09 |
| 1295946432 | Samantha N Lewis | Physical Therapist | 1808 Nuevo Rd, Henderson, NV 89014-5120 | 2007-05-25 |
| 1376683045 | Samantha Bangone Lewis | Massage Therapist | 13185 Sw Butner Ct, Beaverton, OR 97005-0833 | 2007-02-08 |
| 1083212286 | Samantha Lewis | Behavior Technician | 5704 Euper Ln Ste 100, Fort Smith, AR 72903-3256 | 2020-10-12 |
| 1235747346 | Samantha Beth Lewis | Psychologist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-15 |
| 1174142665 | Samantha A Lewis | Speech-Language Pathologist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-14 |
| 1740820877 | Samantha Lewis | Behavior Technician | 8130 E Cactus Rd, Suite 510, Scottsdale, AZ 85260-5263 | 2020-01-07 |
| 1992272405 | Samantha Nicole Lewis | Nurse Practitioner | 2241 45th St, Highland, IN 46322-2601 | 2018-11-01 |
| 1265935787 | Samantha Lewis | Behavior Technician | 648 Independence Pkwy Ste 300, Chesapeake, VA 23320-5208 | 2018-03-11 |
| 1194227686 | Samantha Marie Lewis | Social Worker | 353 N Duffy Rd, Butler, PA 16001-1138 | 2018-03-01 |
| Street Address |
1484 LAKESIDE DRIVE |
| City | JACKSON |
| State | KY |
| Zip Code | 41339-6555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396739413 | Bridget Christina Turner | Social Worker | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2005-09-02 |
| 1124488903 | Beverly Dawn Ellis | Nurse Practitioner | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2016-03-07 |
| 1871980003 | Brittany Moore Fugate | Internal Medicine | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2015-04-27 |
| 1477818896 | Allison Michelle Manning | Nurse Practitioner | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2012-07-11 |
| 1457631780 | Jenny Faye Mullins | Family Medicine | 1484 Lakeside Drive, Jhi Breathitt County Family Health Center, Jackson, KY 41339-6555 | 2011-08-17 |
| 1174836662 | Rebecca K Smith | Social Worker | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2010-07-26 |
| 1376631283 | Derrick Jack Hamilton | Internal Medicine | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2006-10-10 |
| 1891891388 | Edgar A D Mendoza | Pediatrics | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2006-09-15 |
| 1467417691 | Juniper Health Inc | Dentist | 1484 Lakeside Drive, Jackson, KY 41339-7370 | 2006-04-19 |
| 1477540086 | Kimerli Plumb-moore | Pediatrics | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2005-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890662 | Angela Shawn Bradley | Pharmacist | 1589 Ky Hwy 15 South, Jackson, KY 41339 | 2020-10-30 |
| 1871191734 | Ranita Greer | Pharmacist | 59 Ky-15 N, Jackson, KY 41339 | 2020-10-13 |
| 1336763135 | Jill Elaine Beattie Green | Occupational Therapist | 100 Ky-15, Jackson, KY 41339 | 2020-06-08 |
| 1023641446 | Andreanna Gibbs | Physical Therapy Assistant | 100 Hwy 15, Jackson, KY 41339 | 2020-02-13 |
| 1144797754 | Visionary Rehabilitation Services, LLC | Speech-Language Pathologist | 100 Kentucky Hwy 15 South, Suite 136, Jackson, KY 41339 | 2018-11-01 |
| 1477081206 | Trending Upwards | Counselor | 1754 Highway 15 N, Jackson, KY 41339 | 2017-05-24 |
| 1508225996 | Jessica Williams | Pharmacist | 842 Highway 15 N, Jackson, KY 41339 | 2016-02-15 |
| 1245637255 | Breathitt County Ambulance, Inc. | Ambulance | 440 Highway 1812 North, Jackson, KY 41339 | 2014-11-20 |
| 1265784045 | Jonathan Charles Morris | Physical Therapist | 695 Ky Hwy 15 N, Ste 3, Jackson, KY 41339 | 2012-10-04 |
| 1649539958 | Henry Price Sewell IIi IIi | Family Medicine | 170 Picnic Hill Rd, Jackson, KY 41339 | 2012-05-07 |
| Find all providers in zip 41339 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113627 | Jessicah Blasdel | Nurse Practitioner | 113 W Michigan Ave, Jackson, MI 49201-1340 | 2020-10-31 |
| 1801406335 | Jade Russell | Nurse Practitioner | 2205 W Morrell St, Jackson, MI 49203-1357 | 2020-08-10 |
| 1992315212 | Patrecia Campbell | Nurse Practitioner | 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 | 2020-08-01 |
| 1669008926 | Kristine Edwards | Nurse Practitioner | 723 Woodlawn Ave, Jackson, MI 49203-2921 | 2020-03-19 |
| 1295366391 | Christy White | Nurse Practitioner | 363 Old Pinson Rd, Jackson, TN 38301-9576 | 2020-01-28 |
| 1972141620 | Primary Care - Bemis, LLC | Nurse Practitioner | 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 | 2019-12-12 |
| 1174164263 | Tami Anne Miller | Nurse Practitioner | 124 N Bast St, Jackson, MO 63755-1704 | 2019-10-01 |
| 1265080584 | Cameron Nicole Howard | Nurse Practitioner | 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 | 2019-08-29 |
| 1831750843 | Rhiannon Michelle Andresen | Nurse Practitioner | 1022 Greystone Sq, Jackson, TN 38305-3580 | 2019-06-21 |
| 1902376361 | Jenay B Krumm | Nurse Practitioner | 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 | 2018-11-28 |
| Find all providers in JACKSON | ||||
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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.