Healthcare Provider Details

I. General information

NPI: 1285297689
Provider Name (Legal Business Name): CHRISTINA ONASSIS LEWIS MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 12/31/2021
Certification Date: 12/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MIDDLE ST
LINCOLN RI
02865-2719
US

IV. Provider business mailing address

969 W MAIN RD APT 1402
MIDDLETOWN RI
02842-6388
US

V. Phone/Fax

Practice location:
  • Phone: 401-217-9787
  • Fax:
Mailing address:
  • Phone: 401-207-1906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN02736
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN50997
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN2300385
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: