Active NPI
Karen B Lewis
- Speech-Language Pathologist
- Jackson, MS
National Provider Identifier
1255571808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S2154
- Practice address
- 6250 Old Canton Rd Ste 130
Jackson, MS 39211-2946 - Phone
- (601) 956-7280
- Fax
- (601) 977-6244
- NPI assigned
- Feb 23, 2009
- 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 | S2154 | MS | Primary |
Addresses
Primary practice location
6250 Old Canton Rd Ste 130
Jackson, MS 39211-2946
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Phone (901) 227-3255
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1255571808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 103",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209446",
"telephone_number": "901-227-3255",
"fax_number": "901-227-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6250 OLD CANTON RD STE 130",
"city": "JACKSON",
"state": "MS",
"postal_code": "392112946",
"telephone_number": "601-956-7280",
"fax_number": "601-977-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KAREN",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-23",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S2154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.