Active NPI
Brandon Lewis, FNP-C
- Family Nurse Practitioner
- Saint George, UT
National Provider Identifier
1598246738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8135154-4405
- Practice address
- 640 E 700 S Ste 201
Saint George, UT 84770-5732 - Phone
- (435) 627-3500
- Fax
- (435) 359-4508
- NPI assigned
- Aug 26, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8135154-4405 | UT | Primary |
Addresses
Primary practice location
640 E 700 S Ste 201
Saint George, UT 84770-5732
Mailing address
640 E 700 S Ste 201
Saint George, UT 84770-5732
Phone (435) 627-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 25, 2019 through Feb 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8135154-4405 | UT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1598246738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 E 700 S STE 201",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847705732",
"telephone_number": "435-627-3500",
"fax_number": "435-359-4508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 E 700 S STE 201",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847705732",
"telephone_number": "435-627-3500",
"fax_number": "435-359-4508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "BRANDON",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-26",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "8135154-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.