Brandy Lewis, LVN, DSD

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

200727 Issued in CA

Practice address

624 E Elder St
Fallbrook, CA 92028-3004

Phone

(760) 451-4165

NPI assigned

Oct 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1861156523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24055 CLINTON KEITH RD APT 315",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925958530",
            "telephone_number": "760-497-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E ELDER ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283004",
            "telephone_number": "760-451-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRANDY",
        "credential": "LVN, DSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "200727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zainul Lalji
• Lawrence F. Pearson, M.D.
• Learned Well-Being Inc
• Beverly Leblanc
• Anne Cecelia Lee, LM, CPM
• Cristi Lewis, LM, CPM, CHOM.
• Madelyn Lewis, RN
• Yendi Nathalie Linares, M.D.
• Anthony Locano, PT
• Antonio Benjamin Lopez

• Licensed Vocational Nurse in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.