Marilyn Elizabeth Lewis, SPA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA0004722 Issued in FL

Practice address

1034 Jenks Ave
Panama City, FL 32401-2437

Phone

(850) 769-5971

Fax

(850) 769-5995

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Speeccare Inc

  • Speech-Language Pathologist
  • Panama City, FL
  • NPI 1053538009
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487871422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012437",
            "telephone_number": "850-769-5971",
            "fax_number": "850-769-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012437",
            "telephone_number": "850-769-5971",
            "fax_number": "850-769-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARILYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "SPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA0004722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Jacqueline Leuenberger, ARNP
• Ross S Levine, M.D.
• Krzysztof Tadeusz Lewandowski, M.D.
• Haley Martinez Lewis, D.O.
• Laura A Lewis, CRNA
• Michael Jesse Lewis, IDC
• Tanya Lewis, LMHC
• Zhakori Anthony Lewis
• Zhakwon Michael Lewis, PA-C
• Ted Liberty, LMHC

• Speech-Language Pathologist in Panama City, FL
• Providers in Panama City, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.