Sherry Maebethrine Michel, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4602 Issued in TN

Practice address

1707 Jones Blvd
Murfreesboro, TN 37129-1837

Phone

(309) 750-2649

NPI assigned

Oct 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sherry 'Kate' Maebethrine Grazer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1114201258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 JONES BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291837",
            "telephone_number": "309-750-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 JONES BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291837",
            "telephone_number": "309-750-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "SHERRY",
        "middle_name": "MAEBETHRINE",
        "name_prefix": "Mrs.",
        "credential": "CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY 'KATE'",
            "last_name": "GRAZER",
            "middle_name": "MAEBETHRINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Richard D Michaelson, M.D.
• Christina Micheal
• Michelle Fowler LLC
• Sonja Mariana Michello, COTA
• Mid South Psychiatric Associates
• Mid State Endo Uap, LLC
• Mid- TN Therapeutic Clinic

• Speech-Language Pathologist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.