KETRINA E LEWIS NURSE PRACTITIONER
NPI 1508377888
Nurse Practitioner in Nellis Afb, NV

Q: What is Ketrina Lewis's NPI number?

The NPI number for Ketrina Lewis is 1508377888. It was assigned to this individual provider in the NPPES registry on October 13, 2017.

Q: What is Ketrina Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ketrina Lewis was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2017

4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2965 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2019, Oct 13, 2017 (2 updates tracked since 2017).

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About Ketrina E Lewis Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETRINA E LEWIS NURSE PRACTITIONER (NPI 1508377888) is an individual nurse practitioner in Nellis Afb, Nevada, licensed in Texas (AP143211) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1508377888

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKETRINA E LEWISCredential: NURSE PRACTITIONER

Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600

Mailing Address809 N Central ExpyMckinney, TX 75070-3303 · (972) 529-4500

Phone(702) 653-2965

Sole ProprietorNo

Enumeration DateOctober 13, 2017

Last NPPES UpdateNovember 8, 20192 updates tracked since enumeration

✔ NPI 1508377888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP143211

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License CNP-03123 (NM)

4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBRA A KOENIGSBERGER MD

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