Active NPI
Sommer Jo Schippert, MA CCC-SLP
- Speech-Language Pathologist
- Newburgh, IN
National Provider Identifier
1164555611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22003718A
- Practice address
- 2699 Lake Brook Dr
Newburgh, IN 47630-9151 - Phone
- (812) 455-3755
- Fax
- (812) 853-8518
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22003718A | IN | Primary |
Addresses
Primary practice location
2699 Lake Brook Dr
Newburgh, IN 47630-9151
Mailing address
2699 Lake Brook Dr
Newburgh, IN 47630-9151
Phone (812) 455-3755
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22003718A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164555611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2699 LAKE BROOK DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476309151",
"telephone_number": "812-455-3755",
"fax_number": "812-853-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2699 LAKE BROOK DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476309151",
"telephone_number": "812-455-3755",
"fax_number": "812-853-8518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIPPERT",
"first_name": "SOMMER",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22003718A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
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.