Active NPI
Judith Lee Lewis, DO
- Neuromusculoskeletal Medicine & OMM Physician
- Seattle, WA
National Provider Identifier
1235195066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- OP 00001398
- Practice address
- 7211 29TH Ave NE
Seattle, WA 98115-5851 - Phone
- (206) 258-4580
- Fax
- (206) 258-4581
- NPI assigned
- Apr 21, 2006
- Last updated
- Jul 19, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | OP 00001398 | WA | Primary |
Addresses
Primary practice location
7211 29TH Ave NE
Seattle, WA 98115-5851
Mailing address
7211 29TH Ave NE
Seattle, WA 98115-5851
Phone (206) 258-4580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0032958 | Other | WA | LABOR AND INDUSTRY |
| LE9113 | Other | WA | REGENCE BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 7, 2015 through Jan 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP 00001398 | WA | MD | Neuromusculoskeletal Medicine & OMM Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1235195066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7211 29TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981155851",
"telephone_number": "206-258-4580",
"fax_number": "206-258-4581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7211 29TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981155851",
"telephone_number": "206-258-4580",
"fax_number": "206-258-4581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JUDITH",
"middle_name": "LEE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "WA",
"license": "OP 00001398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "0032958",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "LE9113",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.