Mirra Lynn Lewis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7542 Widgeon Way
Fair Oaks, CA 95628-5731

Phone

(916) 517-8783

NPI assigned

Oct 9, 2017

Last updated

Oct 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1457861197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7542 WIDGEON WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285731",
            "telephone_number": "916-517-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7542 WIDGEON WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285731",
            "telephone_number": "916-517-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MIRRA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark William Lemay, D.C.
• Candice Lentz
• Alvin Lester Vengco Leonardo, PA-C
• Lets Acupuncture
• Hailei A Lewis
• Xin-Nong Li, MD
• Life Skills Training and Educational Programs, Inc.
• Life Span Home, Inc
• Lifestar Sacramento
• Natasha Lim

• Behavior Technician in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.