Active NPI
Jenna Anne Lewis, NP
- Obstetrics & Gynecology Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1659475101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 544029
- Practice address
- 2238 Geary Blvd
Kaiser Permanente
San Francisco, CA 94115-3416 - Phone
- (415) 833-4143
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 544029 | CA | Primary |
Addresses
Primary practice location
2238 Geary Blvd
Kaiser Permanente
San Francisco, CA 94115-3416
Mailing address
2041 Oregon St
Berkeley, CA 94703-2212
Phone (510) 306-6738
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11325 | CA | MD | Speech-Language Pathologist |
| 544029 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients |
Locations
2238 Geary Blvd
San Francisco, CA 94115
Phone (415) 833-2200
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
Organizations & group practices 3
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.
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- Internal Medicine Physician
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- NPI 1073606299
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1841373800
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1659475101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 OREGON ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947032212",
"telephone_number": "510-306-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2238 GEARY BLVD",
"address_2": "KAISER PERMANENTE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153416",
"telephone_number": "415-833-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JENNA",
"middle_name": "ANNE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "544029",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2238 Geary Blvd",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "94115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.