ALEXIS LEWIS (NPI# 1942769500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942769500 |
| Entity Type | Individual |
| Full Name | ALEXIS LEWIS |
| Practice Address |
503 Airport Rd Ste 101 Medford OR 97504-4159 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5412002900 |
| Practice Fax Number | 5412002948 |
| Mailing Telephone | 5418588170 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | THW000003308 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598313819 | Alexis Lewis | Occupational Therapy Assistant | 2304 E Lamar Alexander Pkwy, Maryville, TN 37804-5316 | 2019-08-29 |
| 1275041774 | Alexis Rose Lewis | Counselor | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2018-01-18 |
| 1669929030 | Alexis Sherron Lewis | Physician Assistant | 1130 Annapolis Rd Ste 100, Odenton, MD 21113-1622 | 2016-09-02 |
| 1487966495 | Alexis Hope Lewis | Internal Medicine | 1801 Sunset Drive, Internal Medicine Clinic, Columbia, SC 29203 | 2010-07-07 |
| 1386879104 | Alexis D Lewis | Military Health Care Provider | 77 Nealy Ave, 1st Medical Group, Langley Afb, VA 23665-2040 | 2009-05-22 |
| 1093737595 | Alexis L Lewis | Nurse Practitioner | 901 Heartland Rd, Ste 3800, Saint Joseph, MO 64506-6201 | 2006-07-24 |
| Street Address |
503 AIRPORT RD STE 101 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902003080 | Sunny Kim | Psychiatry & Neurology | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2007-07-02 |
| 1003417973 | Leslie Michelle Williams | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2020-11-05 |
| 1871107573 | Marcy Jo Hansen | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2020-09-01 |
| 1225651938 | Sadie Teagan Trautwein | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2020-05-28 |
| 1407477763 | Melinda Michelle Cain | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2020-04-28 |
| 1629604103 | Angelica Jean Flowers | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2020-03-17 |
| 1639715964 | Jennifer Andrews | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2019-11-21 |
| 1508400318 | Rachel Hill Stewart | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2019-11-05 |
| 1346884350 | Kyndra Marie Connor | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2019-11-01 |
| 1891348025 | Brian M Locke | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2019-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265073282 | Brandon Wade Orr | Peer Specialist | 611 W 11th St Apt 2, Medford, OR 97501-3572 | 2019-10-01 |
| 1558829358 | Robert Crawford | Peer Specialist | 221 W Main St # B13, Medford, OR 97501-2728 | 2019-03-11 |
| 1063977858 | Hayley Jo Burns | Peer Specialist | 1362 Garfield St, Medford, OR 97501-3979 | 2019-02-05 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1902288871 | Kelly Burrows | Peer Specialist | 817 N Central Ave, Suite C, Medford, OR 97501-5840 | 2015-06-26 |
| 1396351730 | Dana Alexzandria Bogdanove | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-09-21 |
| 1609493873 | Heather Marie Getz | Peer Specialist | 200 Beatty St, Medford, OR 97501-5811 | 2020-07-02 |
| 1508483405 | Justin Karl Sacco | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-06-26 |
| 1275156564 | Mayela Villa | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-05-21 |
| 1427686021 | Richard Joseph Mccleary | Peer Specialist | 200 Beatty St, Medford, OR 97501-5811 | 2020-03-30 |
| Find all providers in MEDFORD | ||||
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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.