Active NPI
Rebecca Ann Lewis, FNP
- Adult Medicine Physician
- Sacramento, CA
National Provider Identifier
1366206237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 95028608
- Practice address
- 3840 Watt Ave BLDG E
Sacramento, CA 95821-2640 - Phone
- (916) 488-6200
- NPI assigned
- Feb 9, 2024
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 95028608 | CA | Primary |
Addresses
Primary practice location
3840 Watt Ave BLDG E
Sacramento, CA 95821-2640
Mailing address
1920 Bowling Green Dr
Sacramento, CA 95815-3417
Phone (916) 397-9718
Other names 1
- Rebecca Ann Lewis
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas Young, M.D.,Inc. | Current | Accepting new patients |
Locations
3840 Watt Ave
Bldg E
Sacramento, CA 95821
Phone (916) 488-6200
Interoperability endpoints
- rlewis357313@hisp.ehr.sutterhealth.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Sacramento, CA
- NPI 1881762953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1366206237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 BOWLING GREEN DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958153417",
"telephone_number": "916-397-9718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 WATT AVE BLDG E",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958212640",
"telephone_number": "916-488-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "REBECCA",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-09",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "95028608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "LEWIS",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.