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

Kimberly D Lewis, FAMILYNP

Individual provider Family Nurse Practitioner · NPI 1710303276

Kimberly D Lewis, FAMILYNP is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2013, 13 years ago. Practices with Optum Medical Group II Rhodes P C, a 302-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2014
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Practice location Address checks out

10105 Banburry Cross Dr Ste 150
Las Vegas, NV 89144-6647
Phone: (702) 877-5199
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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 95000367 (CA)

Record details

NPI number1710303276
Entity typeIndividual (Type 1)
GenderFemale
Credentials FAMILYNP
Sole proprietorNo
NPI enumeratedMarch 7, 2014
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Optum Medical Group Ii Rhodes P C — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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