Active NPI
Gabrielle Sleater Lewis, NP-C
- Family Nurse Practitioner
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9132221-4405
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Care Connections, LLC. | Current | Accepting new patients | |
| Universal Care | Current | Accepting new patients | |
| Central Health Plan of California, Inc. | Current | Accepting new patients | |
| Molina Healthcare of Utah Inc | Family | Current | Accepting new patients |
| Molina Healthcare of California | Current | 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
- https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Health Maintenance Organization
- Diamond Bar, CA
- NPI 1386714772
CA
-
- Pediatrics Physician
- Long Beach, CA
- NPI 1376632877
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.