Active NPI
William J. Bryan Lewis, M.S., CCC-SLP
- Speech-Language Pathologist
- Washington, DC
National Provider Identifier
1457684391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202005857
- Practice address
- 6900 Georgia Ave NW
Building 2, RM 6A19
Washington, DC 20307-0003 - Phone
- (843) 509-3443
- NPI assigned
- Sep 10, 2009
- Sex
- Male
- 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 | 2202005857 | VA | Primary |
Addresses
Primary practice location
6900 Georgia Ave NW
Building 2, RM 6A19
Washington, DC 20307-0003
Mailing address
PO Box 59276
Washington, DC 20012-0276
Phone (843) 509-3443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202005857 | Other | VA | SLP LICENSURE |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202005857 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1457684391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 59276",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200120276",
"telephone_number": "843-509-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 GEORGIA AVE NW",
"address_2": "BUILDING 2, RM 6A19",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070003",
"telephone_number": "843-509-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "WILLIAM",
"middle_name": "J. BRYAN",
"name_prefix": "Mr.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-10",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202005857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLP LICENSURE",
"identifier": "2202005857",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.