Active NPI
Cody-Ryan Lewis
- Behavior Technician
- Murray, UT
National Provider Identifier
1851177158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 2545005702
- Practice address
- 323 East 5770 South
Murray, UT 84107 - Phone
- (801) 301-8004
- NPI assigned
- Sep 4, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Study Specialist | 1744R1102X | |||
| Behavior Technician | 106S00000X | 2545005702 | ZZ | Primary |
Addresses
Primary practice location
323 East 5770 South
Murray, UT 84107
Mailing address
323 East 5770 South
Murray, UT 84107
Phone (801) 301-8004
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 |
|---|---|---|---|
| 2545005702 | ZZ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1851177158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 EAST 5770 SOUTH",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-301-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 EAST 5770 SOUTH",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-301-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CODY-RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-04",
"last_updated": "2023-09-04",
"certification_date": "2023-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "ZZ",
"license": "2545005702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.