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

Dr. Ethan Taylor Lewis, DNP

Individual provider Registered Nurse · NPI 1013690288

Dr. Ethan Taylor Lewis, DNP is a Certified Registered Nurse Anesthetist (CRNA) in Little Rock, Arkansas. Qualified in 2023, 3 years ago. Practices with Premier Anesthesia of Arkansas Professional Corporation, a 88-clinician group and accepts Medicare assignment. Licensed in Arkansas and Texas.

Years since qualifying
3
Licensed in
AR, TX
In the registry since
2023
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

12921 Cantrell Rd
Little Rock, AR 72223-1713
Phone: (501) 615-8296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 228423 (AR)
Registered Nurse Taxonomy 163W00000X · Licence R108058 (AR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 1138854 (TX)

Record details

NPI number1013690288
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorYes
NPI enumeratedAugust 14, 2023
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Premier Anesthesia Of Arkansas Professional Corporation — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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