Active NPI
Preston Lewis, SLP
- Speech-Language Pathologist
- Benton, AR
National Provider Identifier
1184997991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SPP8046
- Practice address
- 3158 Haley CT
Benton, AR 72019-2068 - Phone
- (501) 555-5555
- NPI assigned
- Feb 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SPP8046 | AR | Primary |
Addresses
Primary practice location
3158 Haley CT
Benton, AR 72019-2068
Mailing address
3158 Haley CT
Benton, AR 72019-2068
Phone (501) 555-5555
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SPP8046 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1184997991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3158 HALEY CT",
"city": "BENTON",
"state": "AR",
"postal_code": "720192068",
"telephone_number": "501-555-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3158 HALEY CT",
"city": "BENTON",
"state": "AR",
"postal_code": "720192068",
"telephone_number": "501-555-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "PRESTON",
"name_prefix": "Mr.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-10",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SPP8046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.