Active NPI
Bunny Day Lewis, CNM, NP
- Women's Health Nurse Practitioner
- Ashland, OR
National Provider Identifier
1689670663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 091006559N5
- Practice address
- 540 Catalina Dr
Ashland, OR 97520-1605 - Phone
- (541) 488-2925
- Fax
- (541) 482-7673
- NPI assigned
- Jun 23, 2005
- Reactivated
- Apr 6, 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 091006559N5 | OR | Primary |
Addresses
Primary practice location
540 Catalina Dr
Ashland, OR 97520-1605
Mailing address
1284 Orchid St
Ashland, OR 97520-7326
Phone (541) 488-2925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135322 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091006559N5 | OR | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bunny Lewis | Past | 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 and National Provider Directory roles.
-
- Clinic/Center
- Ashland, OR
- NPI 1194937003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1689670663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1284 ORCHID ST",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975207326",
"telephone_number": "541-488-2925",
"fax_number": "541-306-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 CATALINA DR",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201605",
"telephone_number": "541-488-2925",
"fax_number": "541-482-7673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "BUNNY",
"middle_name": "DAY",
"name_prefix": "Ms.",
"credential": "CNM, NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2007-08-13",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OR",
"license": "091006559N5",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135322",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.