Active NPI
Annie Uma Lewis, BS
- Speech-Language Assistant
- Mesa, AZ
National Provider Identifier
1790344604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA11643
- Practice address
- 3850 E Baseline Rd Ste 109
Mesa, AZ 85206-4403 - Phone
- (480) 818-4212
- NPI assigned
- Jun 13, 2019
- 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 Assistant | 2355S0801X | SLPA11643 | AZ | Primary |
Addresses
Primary practice location
3850 E Baseline Rd Ste 109
Mesa, AZ 85206-4403
Mailing address
1231 W 7TH St
Mesa, AZ 85201-4627
Phone (480) 392-0156
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA11643 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1790344604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 W 7TH ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852014627",
"telephone_number": "480-392-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 E BASELINE RD STE 109",
"city": "MESA",
"state": "AZ",
"postal_code": "852064403",
"telephone_number": "480-818-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ANNIE",
"middle_name": "UMA",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA11643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.