Jeffrey Ian Lewis, PHD/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6828 Issued in NC

Practice address

105 Vista Ter
Tryon, NC 28782-3440

Phone

(828) 859-6414

NPI assigned

Oct 29, 2008

Last updated

Feb 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233446400000",
    "number": "1477706802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VISTA TER",
            "city": "TRYON",
            "state": "NC",
            "postal_code": "287823440",
            "telephone_number": "828-859-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VISTA TER",
            "city": "TRYON",
            "state": "NC",
            "postal_code": "287823440",
            "telephone_number": "828-859-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JEFFREY",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "PHD/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2009-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6828",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Gi-Min Kim, M.D.
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• Laurellyn Medical Group
• Librick, Inc. (Tryon Pharmacy)
• Librick, Inc. (Tryon Pharmacy)
• Light House Group Home
• Stephanie Regina Lindsay
• Luminous Enterprises, L.L.C.

• Speech-Language Pathologist in Tryon, NC
• Providers in Tryon, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.