Active NPI
Sherry Elise Walker Sidles, MA, CCC, SLP
- Speech-Language Pathologist
- Centerville, IA
National Provider Identifier
1376710954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01368
- Practice address
- 23042 260TH Ave
Centerville, IA 52544-9041 - Phone
- (641) 895-5737
- NPI assigned
- May 13, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01368 | IA | Primary |
Addresses
Primary practice location
23042 260TH Ave
Centerville, IA 52544-9041
Mailing address
23042 260TH Ave
Centerville, IA 52544-9041
Phone (641) 437-1929
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01368 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1376710954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23042 260TH AVE",
"city": "CENTERVILLE",
"state": "IA",
"postal_code": "525449041",
"telephone_number": "641-437-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23042 260TH AVE",
"city": "CENTERVILLE",
"state": "IA",
"postal_code": "525449041",
"telephone_number": "641-895-5737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER SIDLES",
"first_name": "SHERRY",
"middle_name": "ELISE",
"credential": "MA, CCC, SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "01368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.