Provider Demographics
NPI:1982883807
Name:LEWIS-BEELER, MELISSA DAWN (NP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:DAWN
Last Name:LEWIS-BEELER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 BMH PHYSICIAN OFFICE BUILDING
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-1527
Mailing Address - Country:US
Mailing Address - Phone:865-546-1642
Mailing Address - Fax:865-681-7949
Practice Address - Street 1:270 BMH PHYSICIANS OFFICE BUILDING
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-3780
Practice Address - Country:US
Practice Address - Phone:865-546-1642
Practice Address - Fax:833-396-2528
Is Sole Proprietor?:No
Enumeration Date:2007-10-27
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000007634363LW0102X
TN7634207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6112339OtherBCBS
TNQ029494Medicaid