Sharron Otremba, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA7538 Issued in FL

Practice address

3460 Laurel Dr
Mount Dora, FL 32757-4604

Phone

(352) 385-0685

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Childrens Therapy Place

  • Speech-Language Pathologist
  • Eustis, FL
  • NPI 1235826884
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306931043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 LAUREL DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327574604",
            "telephone_number": "352-385-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 LAUREL DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327574604",
            "telephone_number": "352-385-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTREMBA",
        "first_name": "SHARRON",
        "credential": "MACCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888650400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oral and Facial Surgery of Florida, Inc.
• Cecilia Orellana, LPN
• Jayla Ortiz
• Diana Osorio
• Nelly A Otero-Rodriguez, M.D
• P-3 Medical Inc
• Juan Carlos Pagan, DC
• William Pankow, APRN
• Catherine Lim Panlilio, DOCTOR OF PHYSICAL T
• Gregory J Panzo, MD

• Speech-Language Pathologist in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Speech-Language Pathologist in Florida

• 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.