Individual provider Active NPI

Sherrill Quinn Coley, MS, CCC-A

  • Audiologist
  • Gardendale, AL
National Provider Identifier
1154637809
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1058A Issued in AL
Practice address
931 Sharit Ave
Ste.101
Gardendale, AL 35071-5003
Phone
(205) 631-8116
Fax
(205) 631-8114
NPI assigned
Aug 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1058A AL Primary

Addresses

Primary practice location

931 Sharit Ave
Ste.101
Gardendale, AL 35071-5003

Mailing address

2716 Goldmor Cir
Birmingham, AL 35244-1922
Phone (205) 602-2401

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1058AALMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan L Levine MD, PC Past Accepting new patients

Organizations & group practices 1

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": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1154637809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 GOLDMOR CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441922",
            "telephone_number": "205-602-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 SHARIT AVE",
            "address_2": "STE.101",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350715003",
            "telephone_number": "205-631-8116",
            "fax_number": "205-631-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEY",
        "first_name": "SHERRILL",
        "middle_name": "QUINN",
        "credential": "MS, CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1058A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.