Active NPI
Cathy Lewis, FNP-C
- Family Nurse Practitioner
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- TEMP64153
- Practice address
- 3100 Channing Way
Idaho Falls, ID 83404-7533 - Phone
- (208) 227-2575
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TEMP64153 | ID | Primary |
Addresses
Primary practice location
3100 Channing Way
Idaho Falls, ID 83404-7533
Mailing address
PO Box 3299
Carson City, NV 89702-3299
Phone (775) 222-0042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 529-6111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMP64153 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashton Memorial, Inc. | Current | Accepting new patients | |
| Utah Regional Hospitalists LLC | Current | Accepting new patients | |
| Ashton Memorial, Inc. | Current | Accepting new patients | |
| Ashton Memorial, Inc. | Current | Accepting new patients | |
| Idaho Kidney Institute LLP | Current | Accepting new patients | |
| Utah Regional Hospitalists LLC | Past | Accepting new patients | |
| Transtreme, LLC | Family | Past | Accepting new patients |
Locations
1501 Hiland Ave
Ste M
Burley, ID 83318
Phone (208) 352-7555
1273 E 17th St
Idaho Falls, ID 83404
Phone (208) 523-0787
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
2381 E Sunnyside Rd
Idaho Falls, ID 83404
Phone (208) 523-8500
350 N Haven Dr
Twin Falls, ID 83301
Phone (208) 735-3914
Organizations & group practices 7
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.
-
dba Utah Regional Hospitalists
- Hospitalist Physician
- Idaho Falls, ID
- NPI 1740715507
-
dba Youth and Family Renewal Services
- Mental Health Counselor
- Idaho Falls, ID
- NPI 1003907163
-
- Nephrology Physician
- Chubbuck, ID
- NPI 1013064690
-
dba Ashton Medical Clinic
- Health Service Clinic/Center
- Ashton, ID
- NPI 1588991566
-
- Family Nurse Practitioner
- Kansas City, MO
- NPI 1003290453
-
- Hospitalist Physician
- Murray, UT
- NPI 1962821223
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Eastern Idaho Regional Medical Center
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1881221091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3299",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897023299",
"telephone_number": "775-222-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 CHANNING WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047533",
"telephone_number": "208-227-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CATHY",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "TEMP64153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.