Active NPI
Janet Lewis
- Speech-Language Pathologist
- Santa Monica, CA
National Provider Identifier
1972689461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12076
- Practice address
- 719 Santa Monica Blvd
Santa Monica, CA 90401-2601 - Phone
- (310) 260-9039
- NPI assigned
- Oct 27, 2006
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12076 | CA | Primary |
Addresses
Primary practice location
719 Santa Monica Blvd
Santa Monica, CA 90401-2601
Mailing address
4240 Via Marina Apt 12
Marina del Rey, CA 90292-5220
Phone (310) 823-3888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12076 | Other | CA | SPEECH PATHOLOGIST LIC. # |
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": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972689461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 VIA MARINA APT 12",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925220",
"telephone_number": "310-823-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012601",
"telephone_number": "310-260-9039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JANET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "12076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH PATHOLOGIST LIC. #",
"identifier": "12076",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.