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NPI Code Detail

MEDICARE: KRISTA LEWIS PMHNP

MEDICARE: KRISTA LEWIS PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP129909TX
2363LP0808XPsychiatric/Mental Health Nurse Practitioner403856NY
3363LP0808XPsychiatric/Mental Health Nurse PractitionerG162416IA
4363LP0808XPsychiatric/Mental Health Nurse Practitioner10139MN
5363LP0808XPsychiatric/Mental Health Nurse Practitioner113533NE
6363LP0808XPsychiatric/Mental Health Nurse PractitionerAP129909TX

General Provider Information

NPI Number : 1356707913
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA LEWIS PMHNP
Provider Business Mailing Address
First Line : 24285 KATY FWY STE 300
Second Line :
City : KATY
State : TX
Zip : 77494-1128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13810 CHAMPION FOREST DR STE 150
Second Line :
City : HOUSTON
State : TX
Zip : 77069-1883
Country : US
Telephone Number : 832-303-9324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2016
Last Update Date : 06/12/2025

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