Active NPI
Hillary H Lewis
- Audiologist
- Wallingford, CT
National Provider Identifier
1992839690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000419
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 419 | CT | MD | Behavioral Analyst |
| 000419 | CT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genm Senior Care Consulting Group LLC | Audiologist | Current | 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
- 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.
-
- Audiologist
- Wallingford, CT
- NPI 1699466987
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.