Active NPI
Sorrell Grace Penick, BS, SLPA
- Speech-Language Assistant
- Bunnell, FL
National Provider Identifier
1285543611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI9087
- Practice address
- 5540 Chestnut Avenue
Bunnell, FL 32110 - Phone
- (931) 842-0336
- NPI assigned
- Sep 2, 2026
- 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 Assistant | 2355S0801X | SI9087 | FL | Primary |
Addresses
Primary practice location
5540 Chestnut Avenue
Bunnell, FL 32110
Mailing address
5540 Chestnut Avenue
Bunnell, FL 32110
Phone (931) 842-0336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1285543611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5540 CHESTNUT AVENUE",
"city": "BUNNELL",
"state": "FL",
"postal_code": "32110",
"telephone_number": "931-842-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5540 CHESTNUT AVENUE",
"city": "BUNNELL",
"state": "FL",
"postal_code": "32110",
"telephone_number": "931-842-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENICK",
"first_name": "SORRELL",
"middle_name": "GRACE",
"credential": "BS, SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI9087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bunnell, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.