JIMMY LEWIS (NPI# 1922632207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922632207 |
Entity Type | Individual |
Full Name | JIMMY LEWIS |
Practice Address |
399 Tillery Ln Watts OK 74964-5072 |
Mailing Address |
Po Box 241 Siloam Springs AR 72761-0241 |
Practice Telephone | 9184220028 |
Practice Fax Number | 9184220027 |
Mailing Telephone | 9184220028 |
Mailing Fax Number | 9184220027 |
Enumeration Date | 2020-02-26 |
Last Update Date | 2020-02-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | Other Service Providers |
Street Address |
399 TILLERY LN |
City | WATTS |
State | OK |
Zip Code | 74964-5072 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750629838 | Daniel Eric Bennett | Rehabilitation Practitioner | 202 S. Main St, Watts, OK 74964 | 2013-01-23 |
1649556283 | Patricia Rich | Case Manager/Care Coordinator | 3rd Cemetary Rd, Watts, OK 74964 | 2011-10-27 |
1538532007 | Jeran Price | Counselor | 202 Main St, Watts, OK 74964 | 2015-11-05 |
1992043707 | Destinie Wiltshire | Counselor | 201 Main Street, Watts, OK 74964 | 2013-01-29 |
1689950214 | Joyce Metzger | Case Manager/Care Coordinator | 3rd Cemetary Rd, Watts, OK 74964 | 2011-10-27 |
1992023311 | Samantha Cox | Case Manager/Care Coordinator | 202 S Main St., Watts, OK 74964-0332 | 2010-05-10 |
1417232919 | Dixie E. Hinkley | Registered Nurse | 202 S. Main St, Watts, OK 74964-0332 | 2011-10-15 |
1841585585 | Christopher Darrel Stilwell | Case Manager/Care Coordinator | 202 South Main Street, Watts, OK 74964-0332 | 2011-06-10 |
1225356660 | Charles Vernon Rickey | Case Manager/Care Coordinator | 202 S. Main St., Watts, OK 74964-0332 | 2010-05-10 |
1164740593 | Jonathon Collin Carter | Case Manager/Care Coordinator | 202 S. Main St., Watts, OK 74964-0332 | 2010-05-10 |
Find all providers in zip 74964 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295369437 | Go Go Geezers LLC | Driver | 12717 Torre Pines Ln, Yukon, OK 73099-6361 | 2020-02-26 |
1225689979 | Charles V Ines | Driver | 3160 N State Highway 97, Sand Springs, OK 74063-8336 | 2019-09-24 |
1922402296 | Latonya Colbert | Driver | 2800 Ne 19th St, Oklahoma City, OK 73111-1914 | 2014-10-15 |
1265697296 | Jamie L Adams | Driver | 304 S Jefferson St Apt 12, Stillwater, OK 74074-3358 | 2008-07-18 |
1730397274 | Mary Lee Crawley | Driver | 533 E. 6th St., Weleetka, OK 74880-0711 | 2007-05-18 |
1437374741 | Katrina M Foster | Driver | 8805 Nw 121st Ter, Oklahoma City, OK 73162-1839 | 2007-04-13 |
1487878518 | Jerry Wayne Spivey | Driver | 1215 N Klein Ave, Oklahoma City, OK 73106-4616 | 2007-04-12 |
1417171166 | Emma Rentha Patterson | Driver | 3512 Oakcliff Dr, Oklahoma City, OK 73135-1320 | 2007-04-12 |
1780807354 | Loretta Sue Mathia | Driver | 25510 S 607 Ln, Grove, OK 74344-0262 | 2007-04-11 |
1801919964 | T Leader | Driver | 1624 S 19th St, Chickasha, OK 73018-5318 | 2007-04-06 |
Find all providers with the same taxonomy |
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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.