Individual provider Active NPI

Irmarita Lewis, FNP

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1669072328
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016414 Issued in CA
Practice address
2420 E Olive Rd Ste C
Pensacola, FL 32514-5110
Phone
(850) 299-9986
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Family Nurse Practitioner 363LF0000X 95016414 CA Primary
Family Nurse Practitioner 363LF0000X 1189995 TX
Family Nurse Practitioner 363LF0000X 864848 NV
Registered Nurse 163W00000X 831617 CA
Family Nurse Practitioner 363LF0000X L1-0075241 DE
Family Nurse Practitioner 363LF0000X 13339946-4405 UT
Family Nurse Practitioner 363LF0000X TPAN1731 FL

Addresses

Primary practice location

2420 E Olive Rd Ste C
Pensacola, FL 32514-5110

Mailing address

1250 Oliver Rd # 1116
Fairfield, CA 94534-3467
Phone (707) 470-2888

Other practice location 1

5150 Mae Anne Ave Ste 405
Reno, NV 89523-1859
Phone (707) 470-2888

Other practice location 2

4830 Wilson Rd Ste 300
Humble, TX 77396-1972
Phone (707) 470-2888

Other practice location 3

1650 Los Gamos Dr
San Rafael, CA 94903-1850
Phone (415) 444-2940

Other practice location 4

1525 Webster St Ste D
Fairfield, CA 94533-4935
Phone (707) 470-2888

Other names 1

  • Rita Lewis Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706000709 CA Practitioner - Nurse Practitioner 6800276080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

1650 Los Gamos Dr
San Rafael, CA 94903-1850
Phone (415) 444-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
831617CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc CurrentSince Jun 2, 2022 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Permanente Medical Group Inc CurrentSince Jun 2, 2022 Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

1650 Los Gamos Dr
San Rafael, CA 94903
Phone (415) 444-2940

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

710 S Broadway
Ste 212
Walnut Creek, CA 94596
Phone (925) 388-9800

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1669072328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 OLIVER RD # 1116",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343467",
            "telephone_number": "707-470-2888",
            "fax_number": "866-626-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 E OLIVE RD STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145110",
            "telephone_number": "850-299-9986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Mae Anne Ave Ste 405",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895231859",
            "country_code": "US",
            "telephone_number": "707-470-2888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4830 Wilson Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773961972",
            "country_code": "US",
            "telephone_number": "707-470-2888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Los Gamos Dr",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949031850",
            "country_code": "US",
            "telephone_number": "415-444-2940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Webster St Ste D",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945334935",
            "country_code": "US",
            "telephone_number": "707-470-2888",
            "fax_number": "866-626-0793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "IRMARITA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016414",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1189995",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "864848",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "831617",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "L1-0075241",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "13339946-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "TPAN1731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "LEWIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.