Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013338128 Individual Practitioner Male Practitioner

Timothy Lewis , MS, CCC-SLP

Speech-Language Pathologist • Ruidoso, NM

Professional Overview & Biography Verified Profile Summary

Timothy Lewis, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Ruidoso, NM. Practice services are available at 2002 SUDDERTH DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2002 Sudderth Dr

Ruidoso, NM 883456119

Telephone 5752572368
Fax 5752572141
Associated Practice Facility / Clinic
🏢 Region Ix Education Facility NPI 1932409497

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ruidoso, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
21 Specialists

Practicing in Ruidoso, NM (2057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NM SLP6851

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
850441031 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Martha Allen

Occupational Therapy Assistant

NPI 1093006538
Alondra Jimenez , COTA

Occupational Therapy Assistant

NPI 1104475417

Certified Occupational Therapy Assistant

Laura Martinez

Psychologist - School

NPI 1154205037
Szaine Hinkle

Psychologist - School

NPI 1225517287
Margaret Dixson

Speech-Language Pathologist

NPI 1306195862
Megan Stasiak

Psychologist - School

NPI 1316820285

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 10, 2024

Registered at 2002 SUDDERTH DR, RUIDOSO, NM 883456119 (Tel: 5752572368)

📍
Updated Business Mailing Address September 10, 2024

Registered at 2002 SUDDERTH DR, RUIDOSO, NM 883456119 (Tel: 5752572368)

👤
Provider Name / Credentials Updated September 10, 2024

Recorded as TIMOTHY LEWIS, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2024

Speech-Language Pathologist (License #SLP6851 in NM)

NPI Profile Active December 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2013

Registered at 237 SERVICE RD, RUIDOSO, NM 883456063 (Tel: 5752572368)

📍
Updated Business Mailing Address December 17, 2013

Registered at 237 SERVICE RD, RUIDOSO, NM 883456063 (Tel: 5752572368)

👤
Provider Name / Credentials Updated December 17, 2013

Recorded as TIMOTHY LEWIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2013

Specialist/Technologist (License #5206 in NM)

🟢
Initial NPI Registration & Enumeration December 17, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013338128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2013
Last Update: September 10, 2024
Sole Proprietor: Yes

Mailing Address

2002 Sudderth Dr

Ruidoso, NM 883456119

Phone: 5752572368

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.