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IVY LEWIS LEWIS LPN
NPI 1972310035
Licensed Practical Nurse in Chubbuck, ID

Active since December 12, 2024
4414 DEER AVE, CHUBBUCK, ID 83202(208) 317-3364 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ivy Lewis Lewis Lpn NPPES

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

IVY LEWIS LEWIS LPN (NPI 1972310035) is an individual licensed practical nurse in Chubbuck, Idaho, licensed in Idaho (14873) and active in the NPI registry since December 2024. She maintains a secondary practice location in Pocatello.

NPPES Registry Identity

NPI1972310035
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameIVY LEWIS LEWISCredential: LPN
Location Address4414 DEER AVEChubbuck, ID 83202-2668
Mailing Address2293 Jacqueline LnPocatello, ID 83201-1867 · (208) 317-3364
Phone(208) 317-3364
Sole ProprietorNo
Enumeration DateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1972310035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in ID · 14873
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4414 DEER AVE, Chubbuck, ID 83202
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Secondary Practice Location 1

Location 11449 Paramount StPocatello, ID 83201-3019 · Phone (208) 317-3364

Other Providers at the Same Location NPPES

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

ROBERT BRETT LEWIS LCSW
Social Worker (Clinical)
4414 DEER AVE
CHUBBUCK, ID 83202
Bannock County (208) 915-0705

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 Ivy Lewis's NPI number?

The NPI number for Ivy Lewis is 1972310035. It was assigned to this individual provider in the NPPES registry on December 12, 2024.

Where is Ivy Lewis located?

Ivy Lewis practices at 4414 Deer Ave, Chubbuck, ID 83202. The listed phone number is (208) 317-3364.

What is Ivy Lewis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ivy Lewis was last updated on December 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.