Renee Miller Lehr

Key facts

NPI

1376316620

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

61483909 (WA)

Practice address

27089 Highland Rd NE
Kingston, WA 98346-8408

Phone

(360) 396-3722

NPI assigned

Oct 30, 2023

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 30, 2023.

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1376316620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18360 CALDART AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27089 HIGHLAND RD NE",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983468408",
            "telephone_number": "360-396-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHR",
        "first_name": "RENEE",
        "middle_name": "MILLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61483909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Kingston, WA · Speech-Language Pathologist in Washington