Individual provider Active NPI

Gabrielle Sleater Lewis, NP-C

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1982204590
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9132221-4405 Issued in UT
Practice address
2905 S McClelland St
Salt Lake City, UT 84106-2125
Phone
(801) 869-0487
NPI assigned
Nov 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP.AP.70133624-NP WA
Family Nurse Practitioner 363LF0000X 9132221-4405 UT Primary
Family Nurse Practitioner 363LF0000X 907375 MS

Addresses

Primary practice location

2905 S McClelland St
Salt Lake City, UT 84106-2125

Mailing address

2905 S McClelland St
Salt Lake City, UT 84106-2125
Phone (801) 869-0487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV, ID, CA, MS5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20210302000829 UT Practitioner - Nurse Practitioner 0345656229 Reassigns benefits to 1 organization
I20221123002565 NV Practitioner - Nurse Practitioner 0345656229 Reassigns benefits to 1 organization
I20230213001619 ID Practitioner - Nurse Practitioner 0345656229 Reassigns benefits to 1 organization
I20250114002032 CA Practitioner - Nurse Practitioner 0345656229 Reassigns benefits to 2 organizations
I20250423003311 MS Practitioner - Nurse Practitioner 0345656229 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Jan 27, 2023 Accepting new patients
Universal Care CurrentSince Jan 9, 2025 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Jan 9, 2025 Accepting new patients
Molina Healthcare of Utah Inc Family CurrentSince Mar 1, 2021 Accepting new patients
Molina Healthcare of California CurrentSince Jan 9, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

188 E Capitol St
Ste 700
Jackson, MS 39201
Phone (844) 809-8438

8329 W Sunset Rd
Ste 100
Las Vegas, NV 89113

7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966

Interoperability endpoints

  • FHIR API: https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: gsleaterlewis12347@direct-prd.molinahealthcare.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": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1982204590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 S MCCLELLAND ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062125",
            "telephone_number": "801-869-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 S MCCLELLAND ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062125",
            "telephone_number": "801-869-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GABRIELLE",
        "middle_name": "SLEATER",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.70133624-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9132221-4405",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.