DR. YVETTE RENEE DOUGLAS-LEWIS NPI 1003005679

Family Medicine in Warrenton, NC

About YVETTE DOUGLAS-LEWIS

Yvette Douglas-lewis is a provider in Warrenton, NC with more than 25 years of experience. The NPI number assigned to this provider is 1003005679. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 4 years ago. Yvette Douglas-lewis is registered with Medicare and accepts claims assignment.

NPI1003005679 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. YVETTE RENEE DOUGLAS-LEWIS
Provider Location Address163 CHRISTMAS RD WARRENTON, NC 27589 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address163 CHRISTMAS RD WARRENTON, NC 27589 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year1993
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-19-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-29-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. YVETTE RENEE DOUGLAS-LEWIS
163 CHRISTMAS RD
WARRENTON, NC
ZIP 27589
Phone: (252) 257-0372
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Mailing Address

DR. YVETTE RENEE DOUGLAS-LEWIS
163 CHRISTMAS RD
WARRENTON, NC
ZIP 27589
Phone: (252) 257-0372

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.9601595
License StateNC
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G56065MEDICARE UPIN (02)NC
7910404MEDICAID (05)NC
2024954MEDICARE PIN (08)NC

Map Location


DR. YVETTE RENEE DOUGLAS-LEWIS address is 163 CHRISTMAS RD WARRENTON, NC 27589

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134348998WARRENTON FAMILY PRACTICE, PLLC
Organization
Clinic/Center (Primary Care)163 CHRISTMAS RD
WARRENTON, NC 27589
(252) 257-0372