Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Desmond Lewis, NP

Individual provider Family Nurse Practitioner · NPI 1033864491

Desmond Lewis, NP is a Nurse Practitioner in Carencro, Louisiana. Qualified in 2021, 5 years ago. Practices with Coolidge Emergency Group LLC, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Kentucky, Louisiana and New Mexico and 2 more.

Years since qualifying
5
Licensed in
CO, KY, LA, NM, NV, TX
In the registry since
2022
Specialties on file
6
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

109 Wallace Broussard Rd Ste 300
Carencro, LA 70520-6355
Phone: (337) 896-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 224077 (LA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence C-RXN.0104524-C-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 90559 (NM)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 901856 (NV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4058936 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1229646 (TX)

Record details

NPI number1033864491
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 15, 2022
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Coolidge Emergency Group Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in Carencro