LEWIS DALE FANNON RN, NP
NPI 1063845832
Nurse Practitioner - Adult Health in San Francisco, CA

Active since August 15, 2013
50 SHRADER ST, SAN FRANCISCO, CA 94117(415) 668-4166 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lewis Dale Fannon Rn, Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEWIS DALE FANNON RN, NP (NPI 1063845832) is an individual adult health provider in San Francisco, California, licensed in California (23521) and active in the NPI registry since August 2013. He maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1063845832
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameLEWIS DALE FANNONCredential: RN, NP
Location Address50 SHRADER STSan Francisco, CA 94117-1015
Mailing Address368 Fell StSan Francisco, CA 94102-5144 · (415) 861-0828 · Fax (415) 861-0257
Sole ProprietorNo
Enumeration DateAugust 15, 2013
Last NPPES UpdateJanuary 29, 2019
NPI 1063845832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CA · 23521
Also ListedRegistered NurseTaxonomy 163W00000X · License 801999 (CA)
50 SHRADER ST, San Francisco, CA 94117

Secondary Practice Location 1

Location 152 Dore StSan Francisco, CA 94103-3828 · Phone (415) 553-3100 · Fax (415) 553-3119

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training/Habilitation Specialist
50 SHRADER ST
SAN FRANCISCO, CA 94117
Community Health Worker
50 SHRADER ST
SAN FRANCISCO, CA 94117
Rehabilitation Practitioner
50 SHRADER ST
SAN FRANCISCO, CA 94117
Counselor (Mental Health)
50 SHRADER ST
SAN FRANCISCO, CA 94117
Community Based Residential Treatment Facility, Mental Illness
50 SHRADER ST
SAN FRANCISCO, CA 94117
Counselor
50 SHRADER ST
SAN FRANCISCO, CA 94117
Counselor
50 SHRADER ST
SAN FRANCISCO, CA 94117
Counselor
50 SHRADER ST
SAN FRANCISCO, CA 94117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lewis Fannon's NPI number?

The NPI number for Lewis Fannon is 1063845832. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is Lewis Fannon located?

Lewis Fannon practices at 50 Shrader St, San Francisco, CA 94117. The listed phone number is (415) 668-4166.

What is Lewis Fannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Lewis Fannon was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.