Active NPI
Jordyn Ann Sheriff, M.S. CCC-SLP
- Speech-Language Pathologist
- Kailua, HI
National Provider Identifier
1114693355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-2025
- Practice address
- 1193 Mokapu Rd
Kailua, HI 96734-5099 - Phone
- (808) 254-7964
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-2025 | HI | Primary |
Addresses
Primary practice location
1193 Mokapu Rd
Kailua, HI 96734-5099
Mailing address
PO Box 2360
Honolulu, HI 96804-2360
Phone (808) 784-5700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP-2025 | Other | HI | HAWAII SPEECH-PATHOLOGY LICENSE |
| 14407431 | Other | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-2025 | HI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1114693355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2360",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968042360",
"telephone_number": "808-784-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1193 MOKAPU RD",
"city": "KAILUA",
"state": "HI",
"postal_code": "967345099",
"telephone_number": "808-254-7964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERIFF",
"first_name": "JORDYN",
"middle_name": "ANN",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "HI",
"license": "SP-2025",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII SPEECH-PATHOLOGY LICENSE",
"identifier": "SP-2025",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
"identifier": "14407431",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.