Active NPI
Nancy Sue Lewis, M.A., CCC-A
- Audiologist
- Fort Wayne, IN
National Provider Identifier
1154599926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23001897
- Practice address
- 12101 Lima Rd
Fort Wayne, IN 46818-8903 - Phone
- (260) 637-3166
- NPI assigned
- Feb 14, 2008
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 23001897 | IN | Primary |
Addresses
Primary practice location
12101 Lima Rd
Fort Wayne, IN 46818-8903
Mailing address
15223 Lions Psge
Leo, IN 46765-9594
Phone (260) 627-8252
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23001897 | IN | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1154599926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15223 LIONS PSGE",
"city": "LEO",
"state": "IN",
"postal_code": "467659594",
"telephone_number": "260-627-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12101 LIMA RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468188903",
"telephone_number": "260-637-3166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "NANCY",
"middle_name": "SUE",
"credential": "M.A., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23001897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.