Active NPI
Kayla Lewis
- Speech-Language Pathologist
- Walla Walla, WA
National Provider Identifier
1659919041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 553484G
- Practice address
- 1011 S 4TH Ave # B
Walla Walla, WA 99362-4026 - Phone
- (909) 278-1032
- NPI assigned
- Dec 16, 2019
- Last updated
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | WA | ||
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 553484G | WA | Primary |
Addresses
Primary practice location
1011 S 4TH Ave # B
Walla Walla, WA 99362-4026
Mailing address
1011 S 4TH Ave # B
Walla Walla, WA 99362-4026
Phone (909) 278-1032
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | klewis@esd123.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 553484G | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1659919041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 S 4TH AVE # B",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624026",
"telephone_number": "909-278-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 S 4TH AVE # B",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624026",
"telephone_number": "909-278-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-16",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "553484G",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "klewis@esd123.org",
"affiliation": "N",
"endpointDescription": "ESD 123 email address",
"address_1": "1011 S 4th Ave # B",
"city": "Walla Walla",
"state": "WA",
"country_code": "US",
"postal_code": "993624026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.