Judith K Lewis, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95024104 Issued in CA

Practice address

1629 W Avenue J Ste 106
Lancaster, CA 93534-2851

Phone

(661) 310-3757

NPI assigned

Mar 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Shiloh Medical Center Inc

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1245333830
  Medicare reassignment NPD

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1588364640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36827 FELICITAS AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935517808",
            "telephone_number": "661-406-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 W AVENUE J STE 106",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342851",
            "telephone_number": "661-310-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JUDITH",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "95024104",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bria Lewis
• Cindy T Lewis
• Corey Roger Lewis, LVN
• Jermaine Michael Lewis
• Jerry Lewis, MS, ATC,EMT--1A
• Natalie A Lewis, R.N., N.P.
• Nina Lewis
• Page Lewis, PHD
• Ricky Davon Lewis
• Tricia Lewis

• Nurse Practitioner in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.