Stephanie Evette Lewis, CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP11508 Issued in CA

Practice address

1444 N Birch Ave
Rialto, CA 92376-2905

Phone

(909) 709-1223

Fax

(909) 709-1223

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1720096944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 N BIRCH AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923762905",
            "telephone_number": "909-709-1223",
            "fax_number": "909-709-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 N BIRCH AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923762905",
            "telephone_number": "909-709-1223",
            "fax_number": "909-709-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "STEPHANIE",
        "middle_name": "EVETTE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP11508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REG NURSING",
            "identifier": "HP11508",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley James Leichty II, DDS
• Molly Leja, M.S.
• Edwin Estuardo Lemus, B.A., MPA
• Kariaana Leon
• Crisanto O Leonor, MD
• Erica Berenice Licea, RDA ORTHO ASSISTANT
• Lise Sirina Lieberman
• Lilibeth Swanson
• Dong Il Lim
• Luisa Limon

• Nurse Practitioner in Rialto, CA
• Providers in Rialto, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.