NPI Code Detail JSON Logo

1548681075 NPI number — RACHEL RAFELIA LEWIS FNP

NPI Number: 1548681075
Health Care Provider/Practitioner: RACHEL RAFELIA LEWIS FNP

Information about “1548681075” NPI (RACHEL RAFELIA LEWIS FNP) exists in 1548681075 in HTML format HTML  |  1548681075 in plain Text format TXT  |  1548681075 in PDF (Portable Document Format) PDF  |  1548681075 in an XML format XML  formats.

NPI Number : 1548681075 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548681075",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEWIS",
    "FirstName": "RACHEL",
    "MiddleName": "RAFELIA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ANGELA",
    "OtherFirstName": "RACHEL",
    "OtherMiddleName": "RAFELIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "33965 GOLDEN CROWN WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YUCAIPA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92399-6965",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-583-4716",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "330 ALABAMA ST STE D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "REDLANDS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92373-8097",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "855-901-0911",
    "PracticeLocationAddressFaxNumber": "909-335-4886",
    "EnumerationDate": "12/31/2013",
    "LastUpdateDate": "08/22/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "95000034",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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