Chancellor Noah Lewis, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

277588 Issued in KY

Practice address

400 Farris Parks Blvd
Richmond, KY 40475-7650

Phone

(859) 353-3666

Fax

(859) 448-7077

NPI assigned

Apr 20, 2023

Last updated

Apr 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Beh Physical Therapy

  • Physical Therapist
  • Berea, KY
  • NPI 1073092482
  NPD (past)
• The Speech Path PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Berea, KY
  • NPI 1033853981
  NPD (past)

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1821785874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 JANE BRIGGS AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094503",
            "telephone_number": "859-229-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FARRIS PARKS BLVD",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757650",
            "telephone_number": "859-353-3666",
            "fax_number": "859-448-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "752 Richmond Rd N",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "KY",
            "postal_code": "404031059",
            "country_code": "US",
            "telephone_number": "859-353-3666",
            "fax_number": "859-448-7077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHANCELLOR",
        "middle_name": "NOAH",
        "name_prefix": "Mr.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "277588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Micah Lee, APRN-CNP
• Allyson Claire Lehman, DPT
• Kelly Lou Leigers, MS, OTR/L
• Sarah Lester, APRN
• Callie Lewis
• Christie C Lewis, MD
• Emily Kemp Lewis, DPT
• Gentry Lewis, DPT
• Julie M Lewis, PHARM D
• Megan R Lewis, CNA

• Speech-Language Pathologist in Richmond, KY
• Providers in Richmond, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.