Active NPI
Sherry C Niederkorn, M.S.,CCC-A
- Audiologist
- Plano, TX
National Provider Identifier
1295932507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51106
- Practice address
- 4001 W 15TH St
Plano, TX 75093-5841 - Phone
- (972) 234-5375
- NPI assigned
- Jun 29, 2007
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51106 | TX | Primary |
Addresses
Primary practice location
4001 W 15TH St
Plano, TX 75093-5841
Mailing address
18443 Tettenhall Dr
Dallas, TX 75252-7916
Phone (972) 381-0729
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
| License | State | Type | Specialty |
|---|---|---|---|
| 51106 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295932507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18443 TETTENHALL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752527916",
"telephone_number": "972-381-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 W 15TH ST",
"city": "PLANO",
"state": "TX",
"postal_code": "750935841",
"telephone_number": "972-234-5375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEDERKORN",
"first_name": "SHERRY",
"middle_name": "C",
"credential": "M.S.,CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
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.