MIKALA MONTINE LEWIS NP
NPI 1629542857
Nurse Practitioner - Adult Health in Granite City, IL

Q: What is Mikala Lewis's NPI number?

The NPI number for Mikala Lewis is 1629542857. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Q: What is Mikala Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mikala Lewis was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 22, 2019

4816 BAILEY DR, GRANITE CITY, IL 62040(618) 791-6926 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mikala Montine Lewis Np NPPES

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

MIKALA MONTINE LEWIS NP (NPI 1629542857) is an individual adult health provider in Granite City, Illinois, licensed in Missouri (2018038103) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1629542857

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMIKALA MONTINE LEWISCredential: NP

Location Address4816 BAILEY DRGranite City, IL 62040-2681

Mailing Address4816 Bailey DrGranite City, IL 62040-2681 · (618) 791-6926

Phone(618) 791-6926

Sole ProprietorNo

Enumeration DateJanuary 22, 2019

✔ NPI 1629542857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MO · 2018038103

4816 BAILEY DR, Granite City, IL 62040

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikala Lewis's NPI number?

The NPI number for Mikala Lewis is 1629542857. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Where is Mikala Lewis located?

Mikala Lewis practices at 4816 Bailey Dr, Granite City, IL 62040. The listed phone number is (618) 791-6926.

What is Mikala Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mikala Lewis was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.