Individual provider Active NPI

Jaden Lewis

  • School Registered Nurse
  • Roseland, NE
National Provider Identifier
1689584997
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
100891 Issued in NE
Practice address
9405 S Lincoln Ave
Roseland, NE 68973-1842
Phone
(402) 756-6611
Fax
(402) 207-6362
NPI assigned
Sep 9, 2026
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 100891 NE Primary

Addresses

Primary practice location

9405 S Lincoln Ave
Roseland, NE 68973-1842

Mailing address

410 N Denison Ave
Kenesaw, NE 68956-1577

Other practice location 1

PO Box 127
Bladen, NE 68928-0127
Phone (402) 756-1311

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lake Public School PastSince May 16, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1689584997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N DENISON AVE",
            "city": "KENESAW",
            "state": "NE",
            "postal_code": "689561577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 S LINCOLN AVE",
            "city": "ROSELAND",
            "state": "NE",
            "postal_code": "689731842",
            "telephone_number": "402-756-6611",
            "fax_number": "402-207-6362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 127",
            "address_purpose": "LOCATION",
            "city": "Bladen",
            "state": "NE",
            "postal_code": "689280127",
            "country_code": "US",
            "telephone_number": "402-756-1311",
            "fax_number": "402-207-6360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JADEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "100891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseland, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.