Individual provider Active NPI

Rheanne Sarene Lewis, M.S.

  • Speech-Language Pathologist
  • Minneapolis, MN
National Provider Identifier
1457784514
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9603 Issued in MN
Practice address
3221 Saint Margaret Dr
Minneapolis, MN 55422-3847
Phone
(309) 339-3847
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146011816 IL
Speech-Language Pathologist 235Z00000X 9603 MN Primary

Addresses

Primary practice location

3221 Saint Margaret Dr
Minneapolis, MN 55422-3847

Mailing address

3221 Saint Margaret Dr
Golden Valley, MN 55422-3847
Phone (309) 339-3847

Other practice location 1

3221 Saint Margaret Dr
Golden Valley, MN 55422
Phone (309) 339-3847

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9603MNMDGeneral Practice Dentistry
146011816ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sol Therapy Services Speech-Language Pathologist Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1457784514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 SAINT MARGARET DR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223847",
            "telephone_number": "309-339-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 SAINT MARGARET DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554223847",
            "telephone_number": "309-339-3847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 Saint Margaret Dr",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "55422",
            "country_code": "US",
            "telephone_number": "309-339-3847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "RHEANNE",
        "middle_name": "SARENE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011816",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.