Kristin Lewis, RD | |
8508 N Prairie Vw, Prescott Valley, AZ 86315-9089 | |
(928) 772-8652 | |
(928) 772-8078 |
Full Name | Kristin Lewis |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 22 Years |
Location | 8508 N Prairie Vw, Prescott Valley, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447574173 | NPI | - | NPPES |
507248 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 920049 (Arizona) | Secondary |
133VN1005X | Dietitian, Registered - Nutrition, Renal | 920049 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prairie View Creations Llc | 8022420066 | 2 |
Provider Name | Prairie View Creations Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063979961 PECOS PAC ID: 8022420066 Enrollment ID: O20201215002285 |
Mailing Address | Practice Location Address |
---|---|
Kristin Lewis, RD Po Box 10214, Prescott, AZ 86304-0214 Ph: (928) 772-8652 | Kristin Lewis, RD 8508 N Prairie Vw, Prescott Valley, AZ 86315-9089 Ph: (928) 772-8652 |
Prairie View Creations Llc Dietitian Medicare: Medicare Enrolled Practice Location: 8508 N Prairie Vw, Prescott Valley, AZ 86315 Phone: 928-772-8652 Fax: 928-772-8078 | |
Chad Hetherwick, MS, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 8508 N Prairie Vw, Prescott Valley, AZ 86315 Phone: 928-772-8652 Fax: 928-772-8078 | |
Kelly Grace Aldrich, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6717 E 2nd St, Ste. D, Prescott Valley, AZ 86314 Phone: 928-771-3560 Fax: 928-771-3542 | |
Eon Consulting Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5835 N Elton Pl, Prescott Valley, AZ 86314 Phone: 923-300-1542 | |
Kristina Velasquez, RD, LD, CNSC. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3131 N Main St Apt A312, Prescott Valley, AZ 86314 Phone: 505-515-5783 | |
Mrs. Elisa Olivier-nielsen, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5835 N Elton Pl, Prescott Valley, AZ 86314 Phone: 923-300-1542 |