Provider Demographics
NPI:1376316570
Name:LEWIS, KEEYA (DNP, MSNED, RN)
Entity type:Individual
Prefix:DR
First Name:KEEYA
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DNP, MSNED, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15500 VOSS RD # 1034
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-4601
Mailing Address - Country:US
Mailing Address - Phone:281-466-3730
Mailing Address - Fax:
Practice Address - Street 1:2021 FM 1092 RD
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1702
Practice Address - Country:US
Practice Address - Phone:281-466-3730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX836963163WA2000X, 163WG0000X, 163WH0200X, 163WW0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WW0000XNursing Service ProvidersRegistered NurseWound Care