Individual provider Active NPI

Elena Calleja Lewis, N.P.

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1255450425
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
481054 Issued in CA
Practice address
1801 Westwind Dr
Bakersfield, CA 93301-3028
Phone
(661) 632-1817
Fax
(661) 632-1866
NPI assigned
Mar 28, 2007
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 481054 CA Primary

Addresses

Primary practice location

1801 Westwind Dr
Bakersfield, CA 93301-3028

Mailing address

1801 Westwind Dr
Bakersfield, CA 93301-3028
Phone (661) 632-1817

Other identifiers 1

IdentifierTypeStateIssuer
481054OtherCANURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130520000325 CA Order and Referring Only - Nurse Practitioner 8325285984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1255450425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WESTWIND DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013028",
            "telephone_number": "661-632-1817",
            "fax_number": "661-632-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WESTWIND DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013028",
            "telephone_number": "661-632-1817",
            "fax_number": "661-632-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ELENA",
        "middle_name": "CALLEJA",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "481054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "481054",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.