Individual provider Active NPI

Stacy Brea Lehman, C.M.T

  • Specialist
  • Westlake Village, CA
National Provider Identifier
1144241266
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
73545 Issued in CA
Practice address
128 Auburn CT
Westlake Village, CA 91362-3619
Phone
(805) 495-0110
Fax
(805) 495-1390
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 73545 CA Primary

Addresses

Primary practice location

128 Auburn CT
Westlake Village, CA 91362-3619

Mailing address

6256 Geneva St
Ventura, CA 93003-6615
Phone (805) 660-1593

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

LicenseStateTypeSpecialty
73545CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144241266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6256 GENEVA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036615",
            "telephone_number": "805-660-1593",
            "fax_number": "805-495-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 AUBURN CT",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623619",
            "telephone_number": "805-495-0110",
            "fax_number": "805-495-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "STACY",
        "middle_name": "BREA",
        "name_prefix": "Miss",
        "credential": "C.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "73545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.