Individual provider Active NPI

Hillary H Lewis

  • Audiologist
  • Wallingford, CT
National Provider Identifier
1992839690
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000419 Issued in CT
Practice address
22 Masonic Ave
Audiology Department
Wallingford, CT 06492-3048
Phone
(203) 679-6272
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000419 CT Primary

Addresses

Primary practice location

22 Masonic Ave
Audiology Department
Wallingford, CT 06492-3048

Mailing address

63 Elm St
Apt 203
Manchester, CT 06040-5974
Phone (860) 810-5428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913002979 CT Practitioner - Qualified Audiologist 8729442496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

67 Masonic Ave
Wallingford, CT 06492-3095
Phone (203) 679-6909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
419CTMDBehavioral Analyst
000419CTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Genm Senior Care Consulting Group LLC Audiologist CurrentSince Jun 25, 2023 Accepting new patients

Locations

22 Masonic Ave
Wallingford, CT 06492
Phone (203) 284-3900

67 Masonic Ave
Ste 2200
Wallingford, CT 06492

67 Masonic Ave
Wallingford, CT 06492
Phone (203) 265-0355

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0902817a-ed68-43fa-954a-bea5acd79d50/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992839690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ELM ST",
            "address_2": "APT 203",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405974",
            "telephone_number": "860-810-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MASONIC AVE",
            "address_2": "AUDIOLOGY DEPARTMENT",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923048",
            "telephone_number": "203-679-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "HILLARY",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.