Active NPIIndividual provider

Samantha R Lewis, NP

Nurse Practitioner, Psych/Mental Health in Pleasantville, New York

NPI Number1104846724
Practice location
1075 Broadway, Pleasantville, NY 10570
Fax
914-769-8505
Last updated
July 23, 2018

Samantha Raquel Lewis is a Nurse Practitioner, Psych/Mental Health based in Pleasantville, NY. Samantha Raquel Lewis practices in Pleasantville, NY and has the professional credentials of NP. The NPI Number for Samantha Raquel Lewis is 1104846724 and holds a License No. 145622 (CT). The current practice location address for Samantha Raquel Lewis is 1075 Broadway, Pleasantville, NY 10570 and can be reached out via phone at 914-773-6901 and via fax at 914-769-8505.

Provider Profile Details

NPI Number
1104846724
Provider Name
Samantha Raquel Lewis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1075 Broadway, Pleasantville, NY 10570
Phone Number
914-773-6901
Fax Number
914-769-8505
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2006
Last Update Date
July 23, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1075 Broadway
Pleasantville, NY 10570
Zip
10570
Phone Number
914-773-6901
Fax Number
914-769-8505
Pleasantville, NY 10570Get directions →

Provider Business Mailing Address Details

Address
1008 Hazel Dr
Endicott, NY 13760-2634
City
Endicott
State
NY
Zip
13760-2634
Phone Number
607-624-4467

License Information

License Number (1)
145622
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
517976-1
License State (2)
NY
Taxonomy (2)
Registered Nurse, General Practice · 163WG0000X
License Number (3)
7304
License State (3)
CT
Taxonomy (3)
Nurse Practitioner · 363L00000X
License Number (4)
320051
License State (4)
NY
Taxonomy (4)
Nurse Practitioner, Community Health · 363LC1500X
License Number (5)
401200
License State (5)
NY
Taxonomy (5)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samantha R Lewis, NP?

The NPI number of Samantha R Lewis, NP is 1104846724. It was assigned on July 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Samantha R Lewis, NP?

Samantha R Lewis, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 145622.

Where does Samantha R Lewis, NP practice?

The practice location is 1075 Broadway, Pleasantville, NY 10570. The office can be reached at 914-773-6901 (phone) or 914-769-8505 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104846724 directly on the NPPES registry website.

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