Provider Type Icon

LETASHA LEWIS MSN FNP-C NPI 1033476080


NPI Information

NPI: 1033476080
Provider Name: LETASHA LEWIS, MSN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
900 OGDEN AVE # 335
DOWNERS GROVE, IL
ZIP 60515
Phone: (773) 234-0388
Get Directions

Letasha Lewis, MSN, FNP-C is a family nurse practitioner in Downers Grove, IL with 13 years of experience. Letasha Lewis, MSN, FNP-C NPI is 1033476080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

900 OGDEN AVE # 335
DOWNERS GROVE, IL
ZIP 60515-829
Phone: (773) 234-0388
Fax: (773) 234-0394

The NPI 1033476080 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/16/2012 and was last updated on 6/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily16661TENNESSEENo
2363L00000XNurse Practitioner209009526ILLINOISNo
3363LF0000XNurse PractitionerFamily277001315ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1277001315MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.