MS. LAVON SUE LEWIS (L.D.R.D.) – Registered Dietitian, NPI 1205928751

MS. LAVON SUE LEWIS (L.D.R.D.) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in Registered Dietitian. They hold the professional credentials L.D.R.D.. They hold a License No. 49 (OK). The NPI Number for MS. LAVON SUE LEWIS (L.D.R.D.) is 1205928751

Main info

Female
Sole Proprietor
Name
MS. LAVON SUE LEWIS (L.D.R.D.)
NPI
1205928751
Phone
(918) 456-6230
Address
712 JANET ST
Enumeration Date
29 September 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MS. LAVON SUE LEWIS (L.D.R.D.)

  • 712, Janet Street, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744647118

    Phone: (918) 456-6230

    Fax: (918) 456-6230

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091006000423IRegistered Dietitian Or Nutrition ProfessionalOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74464)

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Reviews

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Frequently asked questions

Does MS. LAVON SUE LEWIS (L.D.R.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. LAVON SUE LEWIS (L.D.R.D.) uses 1205928751.
Is MS. LAVON SUE LEWIS (L.D.R.D.) listed as active for patients and plans?
The listing shows MS. LAVON SUE LEWIS (L.D.R.D.) as active in the NPI system.
What is MS. LAVON SUE LEWIS (L.D.R.D.)'s specialty?
The listing groups MS. LAVON SUE LEWIS (L.D.R.D.) with Registered Dietitian. Clinical services aligned with this taxonomy classification.
Where is MS. LAVON SUE LEWIS (L.D.R.D.) based?
MS. LAVON SUE LEWIS (L.D.R.D.) is tied to Tahlequah, Oklahoma in the data we show; additional addresses may exist on the full record.
Is the information about MS. LAVON SUE LEWIS (L.D.R.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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