Individual provider Active NPI

Sherry Alis Merritt, M.A. CCC/SLP

  • Speech-Language Pathologist
  • Minden, LA
National Provider Identifier
1194295808
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5029 Issued in LA
Practice address
1515 Miller Rd.
Minden, LA 71055-7105
Phone
(318) 465-1001
NPI assigned
Nov 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 5029 LA Primary

Addresses

Primary practice location

1515 Miller Rd.
Minden, LA 71055-7105

Mailing address

1515 Miller Rd
Minden, LA 71055-7401
Phone (318) 465-1001

Other names 1

  • Sherry Hollis Merritt Professional name

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

LicenseStateTypeSpecialty
5029LAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1194295808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MILLER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710557401",
            "telephone_number": "318-465-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MILLER RD.",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710557105",
            "telephone_number": "318-465-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "SHERRY",
        "middle_name": "ALIS",
        "credential": "M.A. CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "MERRITT",
            "middle_name": "HOLLIS",
            "credential": "M.A. CCC/SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.