Provider Demographics
NPI:1235778481
Name:LEWIS, TAYA MILLER (CNP)
Entity Type:Individual
Prefix:
First Name:TAYA
Middle Name:MILLER
Last Name:LEWIS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:TAYA
Other - Middle Name:MILLER
Other - Last Name:KNECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7875 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4344
Mailing Address - Country:US
Mailing Address - Phone:513-686-3031
Mailing Address - Fax:
Practice Address - Street 1:7575 5 MILE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-4346
Practice Address - Country:US
Practice Address - Phone:513-232-7100
Practice Address - Fax:513-624-1240
Is Sole Proprietor?:No
Enumeration Date:2020-01-04
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH320994163WE0003X
OHAPRN.CNP.026274363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163WE0003XNursing Service ProvidersRegistered NurseEmergency