Individual provider Active NPI

Heidi K Lewis, DNP, FNP-C

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1952874612
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60607 Issued in ID
Practice address
1525 Addison Ave E Ste A2
Twin Falls, ID 83301-5300
Phone
(228) 739-9961
Fax
(208) 739-9962
NPI assigned
Jan 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 60607 ID
Pediatric Nurse Practitioner 363LP0200X AP60917566 WA
Family Nurse Practitioner 363LF0000X 60607 ID Primary

Addresses

Primary practice location

1525 Addison Ave E Ste A2
Twin Falls, ID 83301-5300

Mailing address

6405 S 3000 E Ste 300
Salt Lake City, UT 84121-6977
Phone (801) 266-3113

Other practice location 1

3360 Washington Pkwy Ste 2
Idaho Falls, ID 83404-8333
Phone (208) 932-7024

Other practice location 2

1125 W Alameda Rd
Pocatello, ID 83201-6143
Phone (228) 739-9961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200928001491 UT Practitioner - Nurse Practitioner 3870912637 Reassigns benefits to 1 organization
I20210105001572 ID Practitioner - Nurse Practitioner 3870912637 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60607IDMDCommunity Health Nurse Practitioner
AP60917566WAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Medicine PC CurrentSince Jan 15, 2025 Accepting new patients
Taylor G Wright PC PastSince Feb 1, 2023 Accepting new patients
Northwest Spokane Pediatrics, PLLC Pediatrics PastSince Sep 1, 2019 Accepting new patients
Taylor G Wright PC Family PastSince Feb 1, 2023 Accepting new patients

Locations

1125 W Alameda Rd
Pocatello, ID 83201
Phone (208) 237-1151

1525 Addison Ave E
Ste A2
Twin Falls, ID 83301
Phone (228) 739-9961

1201 Falls Ave E
Ste 34
Twin Falls, ID 83301
Phone (208) 423-8694

Interoperability endpoints

  • Direct secure messaging: hlewis@twd-ut.direct.office.nextgen.com

Organizations & group practices 5

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": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1952874612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 S 3000 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216977",
            "telephone_number": "801-266-3113",
            "fax_number": "801-266-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 ADDISON AVE E STE A2",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015300",
            "telephone_number": "228-739-9961",
            "fax_number": "208-739-9962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3360 Washington Pkwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834048333",
            "country_code": "US",
            "telephone_number": "208-932-7024",
            "fax_number": "208-904-4447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 W Alameda Rd",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832016143",
            "country_code": "US",
            "telephone_number": "228-739-9961",
            "fax_number": "208-739-9962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "HEIDI",
        "middle_name": "K",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "ID",
            "license": "60607",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP60917566",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "60607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.