Active NPI
Cheryl Marie Lewis, N.P.
- Women's Health Nurse Practitioner
- San Luis Obispo, CA
National Provider Identifier
1619002334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 408607
- Practice address
- 1292 Sawleaf CT
San Luis Obispo, CA 93401-7816 - Phone
- (805) 782-9125
- NPI assigned
- Feb 22, 2007
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 408607 | CA | Primary |
Addresses
Primary practice location
1292 Sawleaf CT
San Luis Obispo, CA 93401-7816
Mailing address
1292 Sawleaf St
San Luis Obispo, CA 93401-7816
Phone (111) 111-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 408607 | CA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619002334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1292 SAWLEAF ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017816",
"telephone_number": "111-111-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1292 SAWLEAF CT",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017816",
"telephone_number": "805-782-9125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CHERYL",
"middle_name": "MARIE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "408607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.