Jayda L Lewis, RMA
Individual provider Active NPI Community Health Worker · Rangely, CO
NPI 1699344853 · NPPES record last updated Jun 22, 2021
Key facts
- NPI
- 1699344853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 196095 (CO)
- Practice address
- 101 E Main St
Rangely, CO 81648-2718 - Phone
- (970) 878-9524
- NPI assigned
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196095 | CO | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rio Blanco County | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 196095 | CO | Yes |
Addresses
Primary practice location
101 E Main St
Rangely, CO 81648-2718
Mailing address
101 E Main St
Rangely, CO 81648-2718
Phone (970) 878-9524
Other providers in Rangely, CO
- Grant Family Dentistry
- Aleah Diane Hockin
- Timothy Yuan-Pei Hsu
- Michelle A Huber
- Leslyn Joseph
- Kimberlee Dawn Long
- Kathleen H. Martynowicz
- Tyler John Morwood
- Joyce K Muller
- Kenneth K. Myers
All providers in Rangely, CO · Community Health Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.