Individual provider Active NPI

Shari Ann Lewis, FNP

  • Nurse Practitioner
  • Chico, CA
National Provider Identifier
1841351707
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP14979 Issued in CA
Practice address
845 W East Ave
Chico, CA 95926-2002
Phone
(530) 896-9600
Fax
(530) 896-9407
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN411421 CA
Nurse Practitioner 363L00000X NP14979 CA Primary

Addresses

Primary practice location

845 W East Ave
Chico, CA 95926-2002

Mailing address

207 N Butte St
Willows, CA 95988-2803
Phone (530) 332-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150304001394 TX Practitioner - Nurse Practitioner 2567788870 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN411421CAMDRegistered Nurse
NP14979CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Indian Health Inc CurrentSince Jan 5, 2015 Accepting new patients
Northern Valley Indian Health Inc CurrentSince Jan 5, 2015 Accepting new patients

Locations

845 W East Ave
Chico, CA 95926
Phone (530) 896-9400

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

Organizations & group practices 2

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1841351707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BUTTE ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882803",
            "telephone_number": "530-332-6000",
            "fax_number": "530-893-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262002",
            "telephone_number": "530-896-9600",
            "fax_number": "530-896-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHARI",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN411421",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP14979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.