Carolyn K Lewis, MCD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

23590 Issued in OR

Practice address

11942 NE Glisan St
Portland, OR 97220-2143

Phone

(503) 252-3238

Fax

(503) 253-8654

NPI assigned

Feb 21, 2012

Sex

Female

Sole proprietor

No

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.

• Luna Healthcare LLC

  • Audiologist-Hearing Aid Fitter
  • Portland, OR
  • NPI 1932419181
  NPD (past)
• Luna Healthcare LLC

  • Audiologist-Hearing Aid Fitter
  • Stanwood, WA
  • NPI 1083019293
  NPD (past)

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1639442601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11942 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202143",
            "telephone_number": "503-252-3238",
            "fax_number": "503-253-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11942 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202143",
            "telephone_number": "503-252-3238",
            "fax_number": "503-253-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CAROLYN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "23590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber C Lewis, CRM/PSS
• Anessa Lewis, LPC
• Angela Victoria Lewis, PA
• Avery Leigh Lewis
• Camille Lewis
• Christina Lynn Lewis, PHARM.D.
• Christine H Lewis
• Christopher Thomas Lewis, RN
• Clara Lewis
• Corey Lewis, PA

• Audiologist-Hearing Aid Fitter in Portland, OR
• Providers in Portland, OR by specialty
• Audiologist-Hearing Aid Fitter in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.