Sharmila Ajit Damodaran, MACCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202002498 Issued in VA

Practice address

13478 Blunts Bridge Rd
Ashland, VA 23005-7250

Phone

(804) 798-5801

NPI assigned

Aug 13, 2009

Last updated

Aug 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sharmila Mandanna Gummatira Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1194957829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13478 BLUNTS BRIDGE RD",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "23005",
            "telephone_number": "804-798-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13478 BLUNTS BRIDGE RD",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057250",
            "telephone_number": "804-798-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMODARAN",
        "first_name": "SHARMILA",
        "middle_name": "AJIT",
        "name_prefix": "Mrs.",
        "credential": "MACCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARMILA",
            "last_name": "GUMMATIRA",
            "middle_name": "MANDANNA",
            "prefix": "MS.",
            "credential": "MACCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsey Carrington Cosner
• Courage Health & Wellness
• Mallory Erin Cummings, FNP
• Tia Gennessa Cunningham, DPT
• Monica Dabney, LPC
• Kara Bosher Daniel, PA
• Kaitlin Daniels
• David a. Haine, O.D. P.C. (AShland Eye Care Center)
• Katherine Duncan Davis, OTR/L
• Kathryn Meghann Davis, LCSW

• Speech-Language Pathologist in Ashland, VA
• Providers in Ashland, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.