Jared Mathias Lewis
Peer Specialist · Cocoa, FL
Practice location
255 Dryden CirCocoa, FL 32926-2481
- Phone
- (321) 412-0577
- Fax
- (321) 978-9280
NPI record
- NPI
- 1396594941
- Entity type
- Individual (Type 1)
- Enumeration date
- May 16, 2024
- Last updated
- May 16, 2024
- Certified
- May 16, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
CRPS.0101359-P | FL |
About Jared Lewis
Jared Mathias Lewis is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 255 Dryden Cir, Cocoa, FL 32926-2481. The NPI number 1396594941 was assigned on May 16, 2024 and the record was last updated on May 16, 2024.
Jared Lewis lists a license in the registry: #CRPS.0101359-P (FL) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jared Mathias Lewis?
The NPI number is 1396594941.
What is the phone number of Jared Lewis?
The phone number listed for the practice location is (321) 412-0577.
Where is Jared Lewis located?
255 Dryden Cir, Cocoa, FL 32926-2481.
What is the taxonomy code for Jared Lewis?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Peer Specialist providers in Cocoa
- Chelsea Stacy1490 Dignity Cir