Active NPI
Meredith Lewandowski, O.T
- Community Health Worker
- Royal Oak, MI
National Provider Identifier
1851767313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 5201007874
- Practice address
- 312 Beaver Ave
Royal Oak, MI 48073-4126 - Phone
- (248) 298-6296
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 5201007874 | MI | Primary |
Addresses
Primary practice location
312 Beaver Ave
Royal Oak, MI 48073-4126
Mailing address
312 Beaver Ave
Royal Oak, MI 48073-4126
Phone (248) 298-6296
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201007874 | MI | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1851767313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 BEAVER AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480734126",
"telephone_number": "248-298-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 BEAVER AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480734126",
"telephone_number": "248-298-6296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWANDOWSKI",
"first_name": "MEREDITH",
"credential": "O.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MI",
"license": "5201007874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.