Jaclyn Ann Lewis, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LG-0000891 Issued in DE

Practice address

49 Fallon Ave
Seaford, DE 19973-1577

Phone

(302) 629-5030

Fax

(302) 629-5035

NPI assigned

Nov 25, 2015

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

Other names 1

• Jaclyn Ann Starke Lewis Professional name

Medicare fee-for-service enrollment

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Nurse Practitioner

Practice roles

Locations

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.

• Aspira Health

  • Urgent Care Clinic/Center
  • Lewes, DE
  • NPI 1295394039
  Medicare reassignment NPD

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1366816555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 FALLON AVE",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731577",
            "telephone_number": "302-629-5030",
            "fax_number": "302-629-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 FALLON AVE",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731577",
            "telephone_number": "302-629-5030",
            "fax_number": "302-629-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JACLYN",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000891",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "STARKE LEWIS",
            "middle_name": "ANN",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Miranda Lee
• Bradley T Lemon, D.P.M, F.A.C.F.S
• Peter Anthony Lerza II
• Gloria Ann Lester, C.R.N.P., EDD.
• Kareta Lewin
• Carla K. Linder, LPCMH
• Julianne Marina Lodowski, RN
• David A Long, D.C.
• Lower Shore Primary Care and Wellness, LLC.
• Ismet Lukolic, M.D.

• Family Nurse Practitioner in Seaford, DE
• Providers in Seaford, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.

Verify at the official NPI Registry.