Active NPI
Candice Lewis
- Speech-Language Pathologist
- Hampton, VA
National Provider Identifier
1760981179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202006574
- Practice address
- 1 Franklin St
Hampton, VA 23669-3568 - Phone
- (757) 727-2000
- NPI assigned
- Feb 12, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202006574 | VA | Primary |
Addresses
Primary practice location
1 Franklin St
Hampton, VA 23669-3568
Mailing address
16 Sweet Gum PL
Hampton, VA 23666-6814
Phone (757) 602-6094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202006574 | Medicaid | VA |
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 |
|---|---|---|---|
| 2202006574 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518393600000",
"number": "1760981179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 SWEET GUM PL",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666814",
"telephone_number": "757-602-6094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FRANKLIN ST",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236693568",
"telephone_number": "757-727-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CANDICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-12",
"last_updated": "2018-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202006574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2202006574",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.