Individual provider Active NPI

Sherry Xinru He, MS CCC-SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1366060667
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
029663 Issued in NY
Practice address
1601 80TH St
Brooklyn, NY 11214-1607
Phone
(510) 456-6287
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 029663 NY Primary

Addresses

Primary practice location

1601 80TH St
Brooklyn, NY 11214-1607

Mailing address

220 Manhattan Ave Apt 1B
New York, NY 10025-2624
Phone (510) 456-6287

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address she2@schools.nyc.gov NYCDOHMH-BOARD OF ED

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

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1366060667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MANHATTAN AVE APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252624",
            "telephone_number": "510-456-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 80TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141607",
            "telephone_number": "510-456-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "SHERRY",
        "middle_name": "XINRU",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "she2@schools.nyc.gov",
            "affiliation": "Y",
            "affiliationName": "NYCDOHMH-BOARD OF ED",
            "address_1": "52 Chambers Street",
            "address_2": "Office of Related Services",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100071243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.