Active NPI
Stacie J Lewis
- Hearing Instrument Specialist
- Colonial Heights, VA
National Provider Identifier
1134628852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2101002312
- Practice address
- 320B Charles Dimmock Pkwy
Suite 4
Colonial Heights, VA 23834 - Phone
- (804) 520-5105
- Fax
- (804) 520-7745
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2101002312 | VA | Primary |
Addresses
Primary practice location
320B Charles Dimmock Pkwy
Suite 4
Colonial Heights, VA 23834
Mailing address
320B Charles Dimmock Pkwy
Suite 4
Colonial Heights, VA 23834
Phone (804) 520-5105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2101002312 | VA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1134628852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320B CHARLES DIMMOCK PKWY",
"address_2": "SUITE 4",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "23834",
"telephone_number": "804-520-5105",
"fax_number": "804-520-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320B CHARLES DIMMOCK PKWY",
"address_2": "SUITE 4",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "23834",
"telephone_number": "804-520-5105",
"fax_number": "804-520-7745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "STACIE",
"middle_name": "J",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "VA",
"license": "2101002312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.