Amanda Jessica Lewton

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2013015599 Issued in MO

Practice address

20363 Lane of Champions
Warsaw, MO 65355-6463

Phone

(660) 438-7120

NPI assigned

Jan 12, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1003405382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20363 LANE OF CHAMPIONS",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653556463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20363 LANE OF CHAMPIONS",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653556463",
            "telephone_number": "660-438-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWTON",
        "first_name": "AMANDA",
        "middle_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2013015599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Machnicki, LCSW
• Angela Marti Jedinak, MSW, LCSW
• Madison Raeann Mays, M.S., CCC-SLP

• Speech-Language Pathologist in Warsaw, MO
• Providers in Warsaw, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.