Brenda Jean Lewis, M.A.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

488-154 Issued in WI

Practice address

116 N Main St
Shawano, WI 54166-2356

Phone

(715) 526-7370

Fax

(715) 526-7294

NPI assigned

Sep 30, 2005

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

Other identifiers 1

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083601512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662356",
            "telephone_number": "715-526-7370",
            "fax_number": "715-526-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662356",
            "telephone_number": "715-526-7370",
            "fax_number": "715-526-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRENDA",
        "middle_name": "JEAN",
        "credential": "M.A.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "488-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42565300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra K Larson, MS, CCC-SLP
• Judy Laude, CSW
• Ronald K Lawrence III, PT
• Erin M Leanna, PT
• Elizabeth M Lenzner, PT, DPT
• Tod C Lewis, MD
• Deborah Jean Lidbury, RN, MSN
• Christy Lingnofski, APNP
• Amy Linsmeyer, PT
• Joann W Liska, MSW LCSW SAC CCS

• Speech-Language Pathologist in Shawano, WI
• Providers in Shawano, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.