Susan Elizabeth Verner, M.ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.3296 Issued in OH

Practice address

1560 Henthorne Dr
Maumee, OH 43537-1371

Phone

(419) 866-5196

Fax

(419) 866-5663

NPI assigned

Jun 27, 2016

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 identifiers 2

Other names 1

• Susan Elizabeth Sheppard Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Progressive Therapy Alternatives, Inc

  • Physical Therapist
  • Maumee, OH
  • NPI 1609899061

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1134570658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 HENTHORNE DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371371",
            "telephone_number": "419-665-1968",
            "fax_number": "419-866-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 HENTHORNE DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371371",
            "telephone_number": "419-866-5196",
            "fax_number": "419-866-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNER",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.3296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392980",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPANY NPI",
            "identifier": "1609899061",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sverner@progsolutions.com",
            "affiliation": "N",
            "endpointDescription": "company email address",
            "address_1": "1560 Henthorne Dr",
            "city": "Maumee",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435371371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SHEPPARD",
            "middle_name": "ELIZABETH",
            "credential": "M.ED., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Maumee, OH
• Providers in Maumee, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.