Individual provider Active NPI

Jey'Dah Ranele Lewis, DNP, APRN - FNP-C

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1720620057
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206530 Issued in LA
Practice address
4200 Houma Blvd FL 6
Metairie, LA 70006-2970
Phone
(504) 503-4331
Fax
(504) 503-4341
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 206530 LA Primary

Addresses

Primary practice location

4200 Houma Blvd FL 6
Metairie, LA 70006-2970

Mailing address

4300 Houma Blvd Ste 204
Metairie, LA 70006-2924
Phone (504) 503-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jvlirette@ejgh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20191104000968 LA Practitioner - Nurse Practitioner 2668704172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, 388 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC Multi-Specialty CurrentSince Sep 26, 2021 Accepting new patients
Administrators of the Tulane Educational Fund Multi-Specialty CurrentSince Feb 8, 2023 Accepting new patients
Administrators of the Tulane Educational Fund Multi-Specialty CurrentSince Feb 8, 2023 Accepting new patients
Tulane University Medical Group Past Accepting new patients
Trinity Rehabilitation Inc Multi-Specialty Past Accepting new patients
Administrators of the Tulane Education Fund Multi-Specialty PastSince Jul 31, 2023 Accepting new patients

Locations

2401 Idaho Ave
Kenner, LA 70062
Phone (504) 466-0222

716 Village Rd
Kenner, LA 70065
Phone (504) 464-0604

270 Ashton Plantation Blvd
Luling, LA 70070
Phone (985) 236-1345

4801 Tartan Dr
Metairie, LA 70003

4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791

4200 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4331

3017 Galleria Dr
Metairie, LA 70001
Phone (504) 830-2454

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4300 Houma Blvd
Ste 204
Metairie, LA 70006
Phone (504) 503-6791

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

3732 W Esplanade Ave S
Metairie, LA 70002
Phone (504) 318-0380

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

2200 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 834-3144

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

1430 Tulane Ave
#T
New Orleans, LA 70112

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

405 Folse St
River Ridge, LA 70123
Phone (225) 738-7676

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1720620057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HOUMA BLVD STE 204",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062924",
            "telephone_number": "504-503-7000",
            "fax_number": "504-503-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HOUMA BLVD FL 6",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062970",
            "telephone_number": "504-503-4331",
            "fax_number": "504-503-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JEY'DAH",
        "middle_name": "RANELE",
        "credential": "DNP, APRN - FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "206530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jvlirette@ejgh.org",
            "affiliation": "N",
            "endpointDescription": "managers email address for company",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4200 Houma Blvd Fl 6",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700062970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.