NPIMap

Individual provider Active NPI

Sherry Smith Joines, MA CCC-SLP

  • Speech-Language Pathologist
  • Nappanee, IN
National Provider Identifier
1124670062
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22002435A Issued in IN
Practice address
1309 E Market St Ste 5
Nappanee, IN 46550-2301
Phone
(574) 773-7733
Fax
(574) 773-7133
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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 22002435A IN Primary

Addresses

Primary practice location

1309 E Market St Ste 5
Nappanee, IN 46550-2301

Mailing address

1309 E Market St Ste 5
Nappanee, IN 46550-2301
Phone (574) 773-7733

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 Arts

State licenses

LicenseStateTypeSpecialty
22002435AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
O.T. Works, Inc Past Accepting new patients
O.T. Works, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1124670062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 E MARKET ST STE 5",
            "city": "NAPPANEE",
            "state": "IN",
            "postal_code": "465502301",
            "telephone_number": "574-773-7733",
            "fax_number": "574-773-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 E MARKET ST STE 5",
            "city": "NAPPANEE",
            "state": "IN",
            "postal_code": "465502301",
            "telephone_number": "574-773-7733",
            "fax_number": "574-773-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOINES",
        "first_name": "SHERRY",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22002435A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nappanee, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.