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

Roosevelt Lewis III, NP

Individual provider Registered Nurse · NPI 1649798133

Roosevelt Lewis III, NP is a Registered Nurse in Boston, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2017
Specialties on file
2
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

1208 Vfw Pkwy Ste 301
Boston, MA 02132-4344
Phone: (617) 401-7441
Fax: (617) 203-6651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1208 Vfw Pkwy Ste 301, Boston, MA 02132-4344 — (617) 401-7441

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2313246 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2313246 (MA)

Record details

NPI number1649798133
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 5, 2017
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021

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