Sherry Shellman, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202004356 Issued in VA

Practice address

150 Point O'Woods Rd.
Willliamsburg, VA 23188-7052

Phone

(757) 566-3300

Fax

(757) 566-8977

NPI assigned

Mar 11, 2009

Last updated

Mar 11, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child Development Resources

  • Professional Counselor
  • Williamsburg, VA
  • NPI 1386716744

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1306087945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "NORGE",
            "state": "VA",
            "postal_code": "231270280",
            "telephone_number": "757-566-3300",
            "fax_number": "757-566-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 POINT O'WOODS RD.",
            "city": "WILLLIAMSBURG",
            "state": "VA",
            "postal_code": "231887052",
            "telephone_number": "757-566-3300",
            "fax_number": "757-566-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLMAN",
        "first_name": "SHERRY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "49-6679",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "194411",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-7850-1",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "45084",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle Gochenour, OTR/L
• Elizabeth Jorlett, PT
• Janet Mitchel, M.A., CCC-SLP
• Elizabeth Pruitt, M.ED., CCC-SLP
• Robin Rice, M.S., OTR/L
• Mary Grace Simasek, M.S., CCC-SLP
• Kara Trahant, M.S., CCC-SLP
• Lynn Wolfe, M.S., OTR/L

• Speech-Language Pathologist in Willliamsburg, VA
• Providers in Willliamsburg, 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 Mar 11, 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.