VICKIE KARON LEWIS NP NPI 1699768564

NPI Information

  • NPI: 1699768564
  • Provider Name: VICKIE KARON LEWIS, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 MEDICAL PARK BLVD
    SUITE 3E
    BRISTOL, TN
    ZIP 37620
  • Phone: (423) 844-5853

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NPI Details

Vickie Karon Lewis, NP is a family nurse practitioner in Bristol, TN. Vickie Karon Lewis, NP NPI is 1699768564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 MEDICAL PARK BLVD
SUITE 3E
BRISTOL, TN
ZIP 37620-430
Phone: (423) 844-5853
Fax: (423) 844-5588

The NPI 1699768564 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 8/25/2005 and was last updated on 7/10/2012.

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 PractitionerFamily5571TENNESSEEYes

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
1103I502830MEDICARE PINTENNESSEE
210350I8168MEDICARE PINTENNESSEE
3S65946MEDICARE UPINTENNESSEE
43345430MEDICAIDTENNESSEE
5CG8288MEDICARE PINTENNESSEE
63345430MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

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: 3/30/2025

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