Active NPI
Stephanie T. Lewis, CCC-SLP
- Speech-Language Pathologist
- Rockville, MD
National Provider Identifier
1194358606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 850 Hungerford Dr
Rockville, MD 20850-1718 - Phone
- (240) 740-3000
- NPI assigned
- Feb 13, 2020
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
850 Hungerford Dr
Rockville, MD 20850-1718
Mailing address
11721 Kemp Mill Rd
Silver Spring, MD 20902-1722
Phone (301) 649-8085
Other practice location 1
6710 Oxon Hill Rd Ste 480
Oxon Hill, MD 20745-1241
Phone (301) 238-5290
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@impressionstherapy.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1194358606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11721 KEMP MILL RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209021722",
"telephone_number": "301-649-8085",
"fax_number": "301-649-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HUNGERFORD DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501718",
"telephone_number": "240-740-3000"
}
],
"practiceLocations": [
{
"address_1": "6710 Oxon Hill Rd Ste 480",
"address_purpose": "LOCATION",
"city": "Oxon Hill",
"state": "MD",
"postal_code": "207451241",
"country_code": "US",
"telephone_number": "301-238-5290",
"fax_number": "301-298-5440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "STEPHANIE",
"middle_name": "T.",
"name_prefix": "Miss",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@impressionstherapy.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "6710 Oxon Hill Rd Ste 480",
"city": "Oxon Hill",
"state": "MD",
"country_code": "US",
"postal_code": "207451241",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.