Individual provider Active NPI

Elizabeth Lewis

  • Speech-Language Pathologist
  • Anacortes, WA
National Provider Identifier
1477945558
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL 60504062 Issued in WA
Practice address
1809 Commercial Ave Unit 206
Anacortes, WA 98221-2326
Phone
(360) 230-8006
Fax
(866) 418-0247
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL 60504062 WA Primary

Addresses

Primary practice location

1809 Commercial Ave Unit 206
Anacortes, WA 98221-2326

Mailing address

3706 W 5TH St
Anacortes, WA 98221-1248
Phone (360) 230-8006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802001339 WA Practitioner - Qualified Speech Language Pathologist 5799188629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Breakthrough Speech, LLCGroup PAC ID 4880097716, 2 clinicians

Practice addresses (Care Compare)

1809 Commercial Ave
Suite 206
Anacortes, WA 98221-2326
Phone (360) 230-8010

3706 W 5TH St
Anacortes, WA 98221-1248
Phone (206) 715-0584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LL 60504062WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Speech, LLC CurrentSince Jul 14, 2021 Accepting new patients

Locations

1004 Commercial Ave
Anacortes, WA 98221
Phone (360) 287-4085

1809 Commercial Ave
Ste 206
Anacortes, WA 98221
Phone (360) 230-8010

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": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1477945558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 W 5TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211248",
            "telephone_number": "360-230-8006",
            "fax_number": "866-418-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 COMMERCIAL AVE UNIT 206",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212326",
            "telephone_number": "360-230-8006",
            "fax_number": "866-418-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 60504062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.