Chelsie M Lewis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200850095NP Issued in OR

Practice address

1100 NW 12TH St
Fruitland, ID 83619-5040

Phone

(208) 452-6556

Fax

(541) 216-6557

NPI assigned

Jul 31, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Snake River Pediatrics, PC

  • Rural Health Clinic/Center
  • Fruitland, ID
  • NPI 1720489396
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1235329707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW 12TH ST",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836195040",
            "telephone_number": "208-452-6556",
            "fax_number": "541-216-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW 12TH ST",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836195040",
            "telephone_number": "208-452-6556",
            "fax_number": "541-216-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHELSIE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "200540135RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200850095NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eddie Lamm, HIS
• Alexandria Monique Landaverde, PHARM D.
• Larsen Counseling PLLC
• Frankie Diane Larsen, LCSW
• Maxfield Roy Lawrence, PA-C
• Jonathan Jay Lindsey, DC
• John Wesley Linhart, PT
• Torrina Mae Logan, BSN, RN
• Teresa Melina Lucas, FNP-C
• Adrieanna Joye Lynch, DO

• Family Nurse Practitioner in Fruitland, ID
• Providers in Fruitland, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.