Individual provider Active NPI

Suriyah Lewis-Boseman, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Washington, DC
National Provider Identifier
1649679010
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP000732 Issued in DC
Practice address
7010 Piney Branch Rd NW
Washington, DC 20012-2418
Phone
(202) 827-3017
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP000732 DC Primary
Speech-Language Pathologist 235Z00000X 07256 MD

Addresses

Primary practice location

7010 Piney Branch Rd NW
Washington, DC 20012-2418

Mailing address

7010 Piney Branch Rd NW
Washington, DC 20012-2418
Phone (202) 827-3017

Other names 1

  • Suriyah Lewis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP000732DCMDSpeech-Language Pathologist
07256MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1649679010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 PINEY BRANCH RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122418",
            "telephone_number": "202-827-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 PINEY BRANCH RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122418",
            "telephone_number": "202-827-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-BOSEMAN",
        "first_name": "SURIYAH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000732",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SURIYAH",
            "last_name": "LEWIS",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.