Sharon J. Ormiston

Individual provider Active NPI Speech-Language Pathologist · Moriarty, NM

NPI 1114149101 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1114149101
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
200 Center Street
Moriarty, NM 87035
Phone
(505) 832-5817
Fax
(505) 832-5918
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Moriarty Municipal School Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

200 Center Street
Moriarty, NM 87035

Mailing address

P.O. Box 2000
Moriarty, NM 87035-2000
Phone (505) 832-5817

Other identifiers

IdentifierTypeStateIssuer
S1244MedicaidNM

Other providers in Moriarty, NM

All providers in Moriarty, NM · Speech-Language Pathologist in New Mexico

Sources for this page

Verify at the official NPI Registry.