Active NPI
Heather A. Lewis, P.T.
- Licensed Psychiatric Technician
- Ontario, CA
National Provider Identifier
1790822575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 29519
- Practice address
- 2940 Inland Empire Blvd
Ontario, CA 91764-4898 - Phone
- (909) 458-1329
- Fax
- (909) 579-8149
- NPI assigned
- Jan 31, 2007
- 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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 29519 | CA | Primary |
Addresses
Primary practice location
2940 Inland Empire Blvd
Ontario, CA 91764-4898
Mailing address
934 N Mountain Ave
#C
Upland, CA 91786-3659
Phone (909) 458-1329
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1790822575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 N MOUNTAIN AVE",
"address_2": "#C",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863659",
"telephone_number": "909-458-1329",
"fax_number": "909-579-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 INLAND EMPIRE BLVD",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644898",
"telephone_number": "909-458-1329",
"fax_number": "909-579-8149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "HEATHER",
"middle_name": "A.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "29519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.