Individual provider Active NPI

Jessica Michelle Lewis Mowry, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Spokane, WA
National Provider Identifier
1073161030
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60587445 Issued in WA
Practice address
310 N Riverpoint Blvd
Spokane, WA 99202-1610
Phone
(509) 505-7481
Fax
(509) 606-2515
NPI assigned
Sep 3, 2019
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL60587445 WA Primary

Addresses

Primary practice location

310 N Riverpoint Blvd
Spokane, WA 99202-1610

Mailing address

4407 N Division St Ste 618
Spokane, WA 99207-1660
Phone (509) 279-2555

Other practice location 1

4407 N Division St Ste 618
Spokane, WA 99207-1660
Phone (509) 279-2555

Other names 1

  • Jessica Michelle Lewis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230814001231 WA Practitioner - Qualified Speech Language Pathologist 4082076732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LL60587445WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Speech & Voiceworks PLLC Speech-Language Pathologist CurrentSince Jul 2, 2023 Accepting new patients
Bavihealth CurrentSince Jul 1, 2024 Accepting new patients

Locations

310 N Riverpoint Blvd
Spokane, WA 99202
Phone (509) 505-7481

412 E Spokane Falls Blvd
Spokane, WA 99202
Phone (509) 358-7500

4407 N Division St
Ste 618
Spokane, WA 99207
Phone (509) 279-2555

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24571/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1073161030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 N DIVISION ST STE 618",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071660",
            "telephone_number": "509-279-2555",
            "fax_number": "509-413-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N RIVERPOINT BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021610",
            "telephone_number": "509-505-7481",
            "fax_number": "509-606-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4407 N Division St Ste 618",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992071660",
            "country_code": "US",
            "telephone_number": "509-279-2555",
            "fax_number": "509-413-1489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS MOWRY",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60587445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LEWIS",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.