Individual provider Active NPI

Beverly Lynn Lewis, MASTER OF SCIENCE

  • Audiologist
  • Dover, TN
National Provider Identifier
1649390956
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1407 Issued in TN
Practice address
Lewis Hearing Services
407 A Hwy. 79
Dover, TN 37058
Phone
(931) 232-7112
Fax
(031) 232-7113
NPI assigned
Mar 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1407 TN Primary
Audiologist 231H00000X 0132 KY

Addresses

Primary practice location

Lewis Hearing Services
407 A Hwy. 79
Dover, TN 37058

Mailing address

Lewis Hearing Services
407 A Hwy. 79
Dover, TN 37058
Phone (931) 232-7112

Other identifiers 2

IdentifierTypeStateIssuer
4119206OtherTNBLUE CROSS BLUE SHIELD
3967140MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000704 TN Practitioner - Qualified Audiologist 7315835014 Reassigns benefits to 1 organization
Practice locations: Dover, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0334KYMDProfessional Counselor
0132KYMDAudiologist
1407TNMDAudiologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649390956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LEWIS HEARING SERVICES",
            "address_2": "407 A HWY. 79",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "37058",
            "telephone_number": "931-232-7112",
            "fax_number": "031-232-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEWIS HEARING SERVICES",
            "address_2": "407 A HWY. 79",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "37058",
            "telephone_number": "931-232-7112",
            "fax_number": "031-232-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BEVERLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MASTER OF SCIENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1407",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "0132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4119206",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3967140",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, TN

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.