Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194178988 Individual Practitioner Female Practitioner

Jackie Lewis

Licensed Practical Nurse • Corvallis, OR

Professional Overview & Biography Verified Profile Summary

Jackie Lewis is a registered healthcare professional specializing in Licensed Practical Nurse in Corvallis, OR. Practice services are available at 530 NW 27TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

530 Nw 27th St

Corvallis, OR 973305223

Telephone 5417666835
Fax 5417666186
Associated Practice Facility / Clinic
🏢 Benton County Facility NPI 1144299934

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Corvallis, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
26 Specialists

Practicing in Corvallis, OR (741 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OR 201406819LPN

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Blue Valentine

Community Health Worker

NPI 1003393976
Stephanie Guerena

Counselor - Addiction (Substance Use Disorder)

NPI 1003974437
Michael Mccusker , PA-C

Physician Assistant - Medical

NPI 1013096684

Physician Assistant (Certified)

Michael Harris

Community Health Worker

NPI 1013327691
Katie Albion

Community Health Worker

NPI 1013382795
John Sanders

Registered Nurse - Psychiatric/Mental Health

NPI 1013392141

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2016

Registered at 530 NW 27TH ST, CORVALLIS, OR 973305223 (Tel: 5417666835)

📍
Updated Business Mailing Address July 18, 2016

Registered at 530 NW 27TH ST, CORVALLIS, OR 973305223 (Tel: 5417666835)

👤
Provider Name / Credentials Updated July 18, 2016

Recorded as JACKIE LEWIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2016

Licensed Practical Nurse (License #201406819LPN in OR)

🟢
Initial NPI Registration & Enumeration July 18, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194178988
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2016
Last Update: July 18, 2016
Sole Proprietor: No

Mailing Address

530 Nw 27th St

Corvallis, OR 973305223

Phone: 5417666835

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.