Individual provider Active NPI

Sherry Doyle, CCC-SLP

  • Speech-Language Pathologist
  • Batesville, AR
National Provider Identifier
1326259011
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP #1577 Issued in AR
Practice address
955 Water St Ste C
Batesville, AR 72501-3455
Phone
(870) 612-1716
Fax
(870) 612-1718
NPI assigned
May 24, 2007
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP #1577 AR Primary

Addresses

Primary practice location

955 Water St Ste C
Batesville, AR 72501-3455

Mailing address

955 Water St Ste C
Batesville, AR 72501-3455
Phone (870) 612-1716

Other identifiers 3

IdentifierTypeStateIssuer
SP #1577OtherARABESPA LICENSURE NUMBER
12008605OtherASHA-CERTIFICATION MEMBER
228799721MedicaidAR

Other names 1

  • Sherry L. Ball Former name

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

State licenses

LicenseStateTypeSpecialty
SP #1577ARMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1326259011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 WATER ST STE C",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725013455",
            "telephone_number": "870-612-1716",
            "fax_number": "870-612-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 WATER ST STE C",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725013455",
            "telephone_number": "870-612-1716",
            "fax_number": "870-612-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "SHERRY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP #1577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABESPA LICENSURE NUMBER",
            "identifier": "SP #1577",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA-CERTIFICATION MEMBER",
            "identifier": "12008605",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228799721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "BALL",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.