NPI Code Detail JSON Logo

1477109783 NPI number — KEIMYEREIA RAILYNN LEWIS

NPI Number: 1477109783
Health Care Provider/Practitioner: KEIMYEREIA RAILYNN LEWIS

Information about “1477109783” NPI (KEIMYEREIA RAILYNN LEWIS) exists in 1477109783 in HTML format HTML  |  1477109783 in plain Text format TXT  |  1477109783 in PDF (Portable Document Format) PDF  |  1477109783 in an XML format XML  formats.

NPI Number : 1477109783 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477109783",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEWIS",
    "FirstName": "KEIMYEREIA",
    "MiddleName": "RAILYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 750423",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW ORLEANS",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70175-0423",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "225-395-8332",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "PO BOX 750423",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW ORLEANS",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70175-0423",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "225-395-8332",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/13/2019",
    "LastUpdateDate": "01/07/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "03/02/2024",
    "NPIReactivationDate": "04/16/2025",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.