1558517698 NPI number — CARRIE ANN LEWIS AU.D., CCC-A

NPI Number: 1558517698
Health Care Provider/Practitioner: CARRIE ANN LEWIS AU.D., CCC-A

NPI Number : 1558517698 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558517698",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEWIS",
    "FirstName": "CARRIE",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AU.D., CCC-A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LANDIS",
    "OtherFirstName": "CARRIE",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "AU.D., CCC-A",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1822 N MAIN ST STE 201",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FALL RIVER",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02720-1350",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "508-674-3334",
    "MailingAddressFaxNumber": "508-674-5855",
    "FirstLinePracticeLocationAddress": "49 STATE RD STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DARTMOUTH",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02747-3322",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "508-910-2221",
    "PracticeLocationAddressFaxNumber": "508-910-2214",
    "EnumerationDate": "08/08/2008",
    "LastUpdateDate": "11/20/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "AUD00187",
          "LicenseNumberStateCode": "RI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "AUD757",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "AUD757",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}