Individual provider Active NPI

Heather Lewis, MS, CCC-SLP

  • Speech-Language Pathologist
  • Huntington Beach, CA
National Provider Identifier
1801172697
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19356 Issued in CA
Practice address
18700 Beach Blvd
Suite 120
Huntington Beach, CA 92648-2030
Phone
(714) 962-6760
Fax
(714) 962-5961
NPI assigned
Oct 25, 2011
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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 19356 CA Primary

Addresses

Primary practice location

18700 Beach Blvd
Suite 120
Huntington Beach, CA 92648-2030

Mailing address

18700 Beach Blvd
Suite 120
Huntington Beach, CA 92648-2030
Phone (714) 962-6760

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
19356CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Therapies Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1801172697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 BEACH BLVD",
            "address_2": "SUITE 120",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482030",
            "telephone_number": "714-962-6760",
            "fax_number": "714-962-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 BEACH BLVD",
            "address_2": "SUITE 120",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482030",
            "telephone_number": "714-962-6760",
            "fax_number": "714-962-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "HEATHER",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.