Active NPI
Devra Lewis, LPN
- Licensed Practical Nurse
- White Swan, WA
National Provider Identifier
1649879685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP00050979
- Practice address
- 80 Birdsong Lane
401 Fort Road
White Swan, WA 98952 - Phone
- (509) 874-2979
- Fax
- (509) 874-2113
- NPI assigned
- Oct 21, 2020
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP00050979 | WA | Primary |
Addresses
Primary practice location
80 Birdsong Lane
401 Fort Road
White Swan, WA 98952
Mailing address
PO Box 693
White Swan, WA 98952-0693
Phone (509) 874-2979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LP00050979 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP00050979 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1649879685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 693",
"city": "WHITE SWAN",
"state": "WA",
"postal_code": "989520693",
"telephone_number": "509-874-2979",
"fax_number": "509-874-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 BIRDSONG LANE",
"address_2": "401 FORT ROAD",
"city": "WHITE SWAN",
"state": "WA",
"postal_code": "98952",
"telephone_number": "509-874-2979",
"fax_number": "509-874-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DEVRA",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP00050979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LP00050979",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in White Swan, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.