BEVERLY LEWIS (NPI# 1932555463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932555463 |
| Entity Type | Individual |
| Full Name | BEVERLY LEWIS |
| Practice Address |
27 W Red Mesa Trl San Tan Valley AZ 85143-6228 |
| Mailing Address |
2320 W Peoria Ave Suite B147 Phoenix AZ 85029-4753 |
| Practice Telephone | 4805796590 |
| Practice Fax Number | 6028962580 |
| Mailing Telephone | 6022837117 |
| Mailing Fax Number | 6028962580 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
BH4850 | AZ | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138248 | Beverly Lewis | Technician | 1772 Truckee Way, Salinas, CA 93906-2124 | 2019-11-08 |
| 1154836625 | Beverly A Lewis | Community Health Worker | 1058 E Worthy St Ste B, Gonzales, LA 70737-4302 | 2017-12-06 |
| 1649390956 | Beverly Lynn Lewis | Audiologist | Lewis Hearing Services, 407 A Hwy. 79, Dover, TN 37058 | 2007-03-30 |
| 1356425227 | Beverly Guillory Lewis | Surgery | 1021 61st St, # 210, Galveston, TX 77551-0000 | 2006-10-25 |
| 1144327446 | Beverly Renee Lewis | Psychiatry & Neurology | 333 Washington Avenue North, 318 Union Plaza, Minneapolis, MN 55401-1367 | 2006-09-20 |
| 1831160399 | Beverly Ann Lewis | Internal Medicine | 983 Us Highway 64 E, Plymouth, NC 27962-9216 | 2006-01-31 |
| 1497063234 | Beverly D Lewis | Occupational Therapy Assistant | 1887 Bathgate Ave, Bronx, NY 10457-6216 | 2010-09-14 |
| 1093032856 | Beverly Alice Lewis | Registered Nurse | 417 Liberty St, Penn Yan, NY 14527-1100 | 2010-05-03 |
| 1760456529 | Beverly Lewis | Dermatology | 2675 E Slauson Ave, All Care Medical Group Inc, Huntington Park, CA 90255 | 2006-02-16 |
| 1104816560 | Beverly H Lewis | Dentist | 1216 Thomas St, Memphis, TN 38107-1703 | 2005-10-26 |
| Street Address |
27 W RED MESA TRL |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85143-6228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619457785 | Shalom Behavioral Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35301 N Belgian Blue Ct, San Tan Valley, AZ 85143 | 2018-08-18 |
| 1336662337 | House of Dignity Assisted Living LLC | Assisted Living Facility | 214 W Danish Red Trl, San Tan Valley, AZ 85143 | 2017-07-21 |
| 1942744081 | Arizona Dental Professionals, PC | Dentist | 545 E Hunt Hwy, San Tan Valley, AZ 85143 | 2016-12-08 |
| 1285000786 | Jared Scott Snyder | Physical Therapy Assistant | 1745 E Hunt Hwy, Suite 103, San Tan Valley, AZ 85143 | 2015-08-19 |
| 1801289236 | Tiffany Battle | Behavioral Analyst | 2626 E. Manuel Road, San Tan Valley, AZ 85143 | 2015-03-10 |
| 1437541091 | Kelly Denise Griffin | Registered Nurse | 35945 N. Gary Rd, Suite 101, San Tan Valley, AZ 85143 | 2015-02-19 |
| 1528496031 | Casey Manzanedo | Licensed Practical Nurse | 35900 E Charbray Dr., San Tan Valley, AZ 85143 | 2013-10-18 |
| 1891136461 | Lisa Kay Scarpa | Home Health Aide | 925 E Canyon Rock Rd, San Tan Valley, AZ 85143 | 2013-07-11 |
| 1790969426 | Emilia Elizabeth Gomez Vieytez | Pediatrics | 22707 S. Ellsworth Rd H 101, Queen Creek, AZ 85143 | 2007-12-17 |
| 1205814621 | Janet F Rinehart | Family Medicine | 30046 N Varnum Rd, San Tan Valley, AZ 85143 | 2006-01-05 |
| Find all providers in zip 85143 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356810766 | Georgina Helene Rudzik | Respite Care | 2675 E Bagdad Rd, San Tan Valley, AZ 85143-4529 | 2018-11-14 |
| 1760546030 | Jerri Lynn Jimenez | Respite Care | 1042 W Vineyard Plains Dr, San Tan Valley, AZ 85143-3467 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
| 1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
| 1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
| 1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
| 1093345498 | New Hope of Arizona, Inc. | Respite Care | 12545 W Woodland Ave, Avondale, AZ 85323-8025 | 2020-01-24 |
| 1033757877 | Jessica Annette Dixon-tatum | Respite Care | 401 N 6th St, Buckeye, AZ 85326-2415 | 2019-12-11 |
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
| 1285276345 | Charlyn Ponds | Respite Care | 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 | 2019-10-10 |
| 1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85143 |
Please comment or provide details below to improve the information on BEVERLY LEWIS.
| 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.