Individual provider Active NPI

Sheri Kay Addington, SLP-CCC

  • Speech-Language Pathologist
  • Ponca City, OK
National Provider Identifier
1003967886
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3369 Issued in OK
Practice address
229 Catfish Dr
Ponca City, OK 74604-5834
Phone
(580) 765-3537
NPI assigned
Jan 16, 2007
Last updated
Apr 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3369 OK Primary

Addresses

Primary practice location

229 Catfish Dr
Ponca City, OK 74604-5834

Mailing address

229 Catfish Dr
Ponca City, OK 74604-5834
Phone (580) 765-3537

Other identifiers 1

IdentifierTypeStateIssuer
25452215MedicaidNM

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

State licenses

LicenseStateTypeSpecialty
3369OKMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1003967886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 CATFISH DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746045834",
            "telephone_number": "580-765-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 CATFISH DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746045834",
            "telephone_number": "580-765-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDINGTON",
        "first_name": "SHERI",
        "middle_name": "KAY",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25452215",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.