Susan Sherfield Gislason, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6309 Issued in NC

Practice address

7347 Bright Leaf Rd
Wilmington, NC 28411-7116

Phone

(910) 232-5267

Fax

(910) 686-8225

NPI assigned

Feb 12, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Achievements Pediatric Speech-Language Services, Inc.

  • Home Health Agency
  • Wilmington, NC
  • NPI 1730221656
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154462901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11220",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284041220",
            "telephone_number": "910-232-5267",
            "fax_number": "910-686-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7347 BRIGHT LEAF RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117116",
            "telephone_number": "910-232-5267",
            "fax_number": "910-686-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISLASON",
        "first_name": "SUSAN",
        "middle_name": "SHERFIELD",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412508",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lauren Gin Gossett, MD
• Ginkgo Seeds Counseling
• Jennifer English Girard
• Girls Leadership Academy of Wilmington Foundation
• Lauren Gish, MSW, LCSW
• Marion Easton Alburger Gittings, LCSW
• Danielle Givens
• Tammy Lynn Gland Cercone, LCSW
• Paul R. Glaser, DPM
• James McKay Glasgow, LCSW, LCAS

• Speech-Language Pathologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.