Active NPI
Barbra Lewis, FNP
- Nurse Practitioner
- Mount Shasta, CA
National Provider Identifier
1043328602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 503773
- Practice address
- 101 Old McCloud Rd
Mount Shasta, CA 96067-2796 - Phone
- (530) 926-5100
- Fax
- (530) 926-1859
- NPI assigned
- Aug 25, 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 | 503773 | CA | Primary |
Addresses
Primary practice location
101 Old McCloud Rd
Mount Shasta, CA 96067-2796
Mailing address
101 Old McCloud Rd
Mount Shasta, CA 96067-2796
Phone (530) 926-5100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13585 | CA | MD | Optometrist |
| 503773 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1043328602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 OLD MCCLOUD RD",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672796",
"telephone_number": "530-926-5100",
"fax_number": "530-926-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 OLD MCCLOUD RD",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672796",
"telephone_number": "530-926-5100",
"fax_number": "530-926-1859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "BARBRA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "503773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Shasta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.