Individual provider Active NPI

Sherry Jaynes McClellan, MS, CCC/SLP

  • Speech-Language Pathologist
  • Lexington, KY
National Provider Identifier
1205935319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1591 Issued in KY
Practice address
2620 Wilhite Dr
Suite 222
Lexington, KY 40503-3385
Phone
(859) 277-1949
Fax
(859) 278-7048
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

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.

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 Science

State licenses

LicenseStateTypeSpecialty
1591KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Swigert and Associates, Inc. Speech-Language Pathologist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1591 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

2620 Wilhite Dr
Suite 222
Lexington, KY 40503-3385

Mailing address

2620 Wilhite Dr
Suite 222
Lexington, KY 40503-3385
Phone (859) 277-1949

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205935319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 WILHITE DR",
            "address_2": "SUITE 222",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033385",
            "telephone_number": "859-277-1949",
            "fax_number": "859-278-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 WILHITE DR",
            "address_2": "SUITE 222",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033385",
            "telephone_number": "859-277-1949",
            "fax_number": "859-278-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "SHERRY",
        "middle_name": "JAYNES",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "1591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

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.

Verify at the official NPI Registry.