Sheridan Brooke Kaluzniak, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

119667 Issued in TX

Practice address

5300 Buchanan St
Fort Worth, TX 76114-1304

Phone

(817) 252-2521

NPI assigned

Nov 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sheridan Brooke Redding Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1023725918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 BUCHANAN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761141304",
            "telephone_number": "817-252-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BUCHANAN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761141304",
            "telephone_number": "817-252-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALUZNIAK",
        "first_name": "SHERIDAN",
        "middle_name": "BROOKE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERIDAN",
            "last_name": "REDDING",
            "middle_name": "BROOKE",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carla Kaloustian, FNP-BC
• Corrina Midnight Kaltenrieder, PMHNP
• Beryl Kalul, MD
• Diana Kahenda Kaluli
• Kevin Kalusha, D.D.S.
• Fanta Kamara, NP
• Fatima Amy Kamara
• Sandeep A Kamath, M.D.
• Laura Elena Kaminski, OTR/L
• Pallavi Reddy Kamjula, M.D.

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.