Active NPI
Jennifer Rosann Lewis, CNA
- Nurse's Aide
- Winnemucca, NV
National Provider Identifier
1689130403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA032875
- Practice address
- 118 E Haskell St
Winnemucca, NV 89445-3247 - Phone
- (775) 623-5222
- NPI assigned
- Feb 17, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 821055 | NV | |
| Nurse's Aide | 376K00000X | CNA032875 | NV | Primary |
Addresses
Primary practice location
118 E Haskell St
Winnemucca, NV 89445-3247
Mailing address
8650 Memory LN
Winnemucca, NV 89445-6661
Phone (775) 403-3247
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 821055 | Other | NV | STATE BOARD OF NURSING NEVADA REGISTERED NURSE |
| CNA032875 | Other | NV | STATE BOARD OF NURSING |
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 |
|---|---|---|---|
| 821055 | NV | MD | Medical-Surgical Registered Nurse |
| CNA032875 | NV | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1689130403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8650 MEMORY LN",
"city": "WINNEMUCCA",
"state": "NV",
"postal_code": "894456661",
"telephone_number": "775-403-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E HASKELL ST",
"city": "WINNEMUCCA",
"state": "NV",
"postal_code": "894453247",
"telephone_number": "775-623-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JENNIFER",
"middle_name": "ROSANN",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-17",
"last_updated": "2022-06-20",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "NV",
"license": "821055",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NV",
"license": "CNA032875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF NURSING NEVADA REGISTERED NURSE",
"identifier": "821055",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF NURSING",
"identifier": "CNA032875",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winnemucca, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.