Amanda Nicole Lewis, M.S. SLP TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

026918 Issued in NY

Practice address

465 New Dorp Lane
The Richard H. Hungerford School
Staten Island, NY 10306

Phone

(718) 668-1365

NPI assigned

Oct 17, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1346751435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 NEW DORP LANE",
            "address_2": "THE RICHARD H. HUNGERFORD SCHOOL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 NEW DORP LANE",
            "address_2": "THE RICHARD H. HUNGERFORD SCHOOL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "718-668-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "M.S. SLP TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mor Levy, PA-C
• Toby Devorah Levy
• Ekaterina Levytskaya
• Jessica Lewand
• Taylor Ann Lewensohn
• Colleen Lewis, M.S.
• Estelle Lewis, LCSW-R
• Glenda Lewis, RN
• Jasmine Lewis
• Kecia Leann Lewis, LCSW

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.