Active NPI
Lewis & Clark Inc
- Speech-Language Pathologist
- Raleigh, NC
National Provider Identifier
1609934082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211817 | Medicaid | NC |
Other names 1
- Speech Connection
National Provider Directory
National Provider DirectoryLocations
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.