Active NPI
Lois Elaine Lewis, RN NURSE PRACTITIONE
- Nurse Practitioner
- Modesto, CA
National Provider Identifier
1003999137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5066
- Practice address
- 205 W Granger Ave
Modesto, CA 95350 - Phone
- (209) 579-9930
- Fax
- (209) 579-9941
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5066 | CA | Primary |
Addresses
Primary practice location
205 W Granger Ave
Modesto, CA 95350
Mailing address
2617 Surrey Ave
Modesto, CA 95355
Phone (209) 529-1556
Other names 1
- Kate Lewis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5066 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003999137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 SURREY AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"telephone_number": "209-529-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W GRANGER AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "95350",
"telephone_number": "209-579-9930",
"fax_number": "209-579-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "LOIS",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "RN NURSE PRACTITIONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "5066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATE",
"last_name": "LEWIS",
"credential": "RN NURSE PRACTITIONE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.