Individual provider Active NPI

Sheryl Ann Zumwalt, L.P.C.

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1144391707
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2573 Issued in OK
Practice address
616 S Boston Ave
Suite 400
Tulsa, OK 74119-1208
Phone
(918) 382-7300
Fax
(918) 382-7302
NPI assigned
Nov 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2573 OK Primary

Addresses

Primary practice location

616 S Boston Ave
Suite 400
Tulsa, OK 74119-1208

Mailing address

4615 E 93Rd CT
Unit B
Tulsa, OK 74137-3968
Phone (918) 382-7300

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

State licenses

LicenseStateTypeSpecialty
2573OKMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144391707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 E 93RD CT",
            "address_2": "UNIT B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373968",
            "telephone_number": "918-382-7300",
            "fax_number": "918-382-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S BOSTON AVE",
            "address_2": "SUITE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741191208",
            "telephone_number": "918-382-7300",
            "fax_number": "918-382-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUMWALT",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.