Active NPI
Sharon Ann Lewis, RRT
- Registered Respiratory Therapist
- Antioch, CA
National Provider Identifier
1063986206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 21667
- Practice address
- 4501 Sand Creek Rd
Antioch, CA 94531-8687 - Phone
- (925) 813-6700
- NPI assigned
- Jan 21, 2019
- Last updated
- Jan 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 21667 | CA | Primary |
Addresses
Primary practice location
4501 Sand Creek Rd
Antioch, CA 94531-8687
Mailing address
4501 Sand Creek Rd
Antioch, CA 94531-8687
Phone (925) 813-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21667 | Other | CA | RESPIRATORY CARE PRACTITIONER LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21667 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1063986206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 SAND CREEK RD",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318687",
"telephone_number": "925-813-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 SAND CREEK RD",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318687",
"telephone_number": "925-813-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "SHARON",
"middle_name": "ANN",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-21",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered",
"state": "CA",
"license": "21667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESPIRATORY CARE PRACTITIONER LICENSE",
"identifier": "21667",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.