Individual provider Active NPI

Amanda Tyrrell Lewicki, M.S. ED.

  • Speech-Language Pathologist
  • Schenectady, NY
National Provider Identifier
1659810059
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
026448-1 Issued in NY
Practice address
108 Education Dr
Schenectady, NY 12303-1297
Phone
(615) 336-4269
NPI assigned
Feb 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 026448-1 NY Primary

Addresses

Primary practice location

108 Education Dr
Schenectady, NY 12303-1297

Mailing address

1190 Troy Schenectady Road
Latham, NY 12201
Phone (518) 640-3300

Other practice location 1

1190 Troy Schenectady Rd
Latham, NY 12110-1014
Phone (518) 640-3300 ext. 3125

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
026448-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1659810059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 TROY SCHENECTADY ROAD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12201",
            "telephone_number": "518-640-3300",
            "fax_number": "518-640-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 EDUCATION DR",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123031297",
            "telephone_number": "615-336-4269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Troy Schenectady Rd",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121101014",
            "country_code": "US",
            "telephone_number": "518-640-3300 x3125",
            "fax_number": "518-640-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWICKI",
        "first_name": "AMANDA",
        "middle_name": "TYRRELL",
        "credential": "M.S. ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026448-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.