Carrie Lynn Sherretta, MACCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL003092L Issued in PA

Practice address

2229 Panama St
Philadelphia, PA 19103-6525

Phone

(215) 732-4006

NPI assigned

Jul 27, 2010

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. Carrie Hirschhorn Sherretta Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1235443722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 PANAMA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036525",
            "telephone_number": "215-732-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 PANAMA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036525",
            "telephone_number": "215-732-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRETTA",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MACCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL003092L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "SHERRETTA",
            "middle_name": "HIRSCHHORN",
            "prefix": "MS.",
            "credential": "MACCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sharon L. Sherman, L.OM.
• Caroline P Shermoen, MD
• Tshering Tashi Sherpa, MD
• Sarah Jayne Sherr, CRNP
• Jacqueline Marie Sherrer, CRNP
• David D Sherry, M.D.
• Dylan Sherry, M.D.
• Sharon Sherry, PT
• Victoria Elizabeth Sherry, CRNP
• John G Shertz Jr., CRNA

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.