Active NPI
Leah Quinn Lewis, AU.D.
- Audiologist-Hearing Aid Fitter
- Fort Walton Beach, FL
National Provider Identifier
1407301781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AY2181
- Practice address
- 11 Racetrack Rd NE Ste E4
Fort Walton Beach, FL 32547-1867 - Phone
- (850) 315-4141
- NPI assigned
- Aug 17, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU3143 | CA | |
| Audiologist-Hearing Aid Fitter | 237600000X | AY2181 | FL | Primary |
Addresses
Primary practice location
11 Racetrack Rd NE Ste E4
Fort Walton Beach, FL 32547-1867
Mailing address
11 Racetrack Rd NE Ste E4
Fort Walton Beach, FL 32547-1867
Phone (850) 315-4141
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU3143 | CA | MD | Audiologist |
| AY2181 | FL | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Medical Center Clinic PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Medical Center Clinic Ambulatory Surgical Center
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1043396245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1407301781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 RACETRACK RD NE STE E4",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471867",
"telephone_number": "850-315-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RACETRACK RD NE STE E4",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471867",
"telephone_number": "850-315-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "LEAH",
"middle_name": "QUINN",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-17",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU3143",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "FL",
"license": "AY2181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.