Organization Active NPI

Lewis & Clark Inc

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1609934082
Registry record updated Mar 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LEWIS & CLARK INC
Doing business as
Speech Connection
Practice address
6512 Six Forks Rd
Ste 203B
Raleigh, NC 27615-6561
Phone
(919) 787-4400
Fax
(919) 341-1020
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2009

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

Authorized official

Name
Doreen Elizabeth Clark, MS CCC-SLP
Title
Director of Speech Pathology & SLP
Phone
(919) 787-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

6512 Six Forks Rd
Ste 203B
Raleigh, NC 27615-6561

Mailing address

6512 Six Forks Rd
Ste 203B
Raleigh, NC 27615-6561
Phone (919) 787-4400

Other identifiers 1

IdentifierTypeStateIssuer
7211817MedicaidNC

Other names 1

  • Speech Connection Doing business as

National Provider Directory

National Provider Directory

Locations

6512 Six Forks Rd
Ste 203B
Raleigh, NC 27615
Phone (919) 787-4400

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235865600000",
    "number": "1609934082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 SIX FORKS RD",
            "address_2": "STE 203B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156561",
            "telephone_number": "919-787-4400",
            "fax_number": "919-341-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 SIX FORKS RD",
            "address_2": "STE 203B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156561",
            "telephone_number": "919-787-4400",
            "fax_number": "919-341-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS & CLARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-03-01",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF SPEECH PATHOLOGY & SLP",
        "authorized_official_telephone_number": "919-787-4400",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211817",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

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