Active NPI
Elizabeth Sherman
- Speech-Language Pathologist
- Brunswick, MD
National Provider Identifier
1417429333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 06112
- Practice address
- 301 Cummings Dr
Brunswick, MD 21716-1836 - Phone
- (240) 236-5398
- NPI assigned
- Dec 18, 2018
- Last updated
- Dec 18, 2018
- 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 | 06112 | MD | Primary |
Addresses
Primary practice location
301 Cummings Dr
Brunswick, MD 21716-1836
Mailing address
806 E B St
Brunswick, MD 21716-1712
Phone (805) 709-2986
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06112 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1417429333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 E B ST",
"city": "BRUNSWICK",
"state": "MD",
"postal_code": "217161712",
"telephone_number": "805-709-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CUMMINGS DR",
"city": "BRUNSWICK",
"state": "MD",
"postal_code": "217161836",
"telephone_number": "240-236-5398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-18",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, MD
- Geri Pryor, CAS
- Karen E Ramirez
- S Hollingsworth LLC (Brunswick Psychiatry and Wellness Services)
- Kathryn Schloe
- Senior Transport Plus
- Shurn Counseling LLC (EmPower Me Holistic Counseling)
- Brandon Shurn, LCPC
- Smile Station Kids Dentistry and Orthodontics, LLC
- Kevin Clark Smith, DDS
- Erica Hailey Sofranko
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.