Sheryl Dudley, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14380541 Issued in MI

Practice address

777 Goguac St W Ste B2
Battle Creek, MI 49015-2097

Phone

(269) 223-7786

Fax

(269) 962-9569

NPI assigned

Feb 14, 2022

Last updated

Feb 14, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1427703990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6642 WESTSHIRE ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243270",
            "telephone_number": "405-777-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GOGUAC ST W STE B2",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490152097",
            "telephone_number": "269-223-7786",
            "fax_number": "269-962-9569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 N Grand St",
            "address_purpose": "LOCATION",
            "city": "Schoolcraft",
            "state": "MI",
            "postal_code": "490878466",
            "country_code": "US",
            "telephone_number": "269-223-7786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "SHERYL",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "14380541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Drew, R.PH
• Scott Allen Driesenga, PH.D.
• Drop-in Self-Help Center (SHARE Center)
• Lauryn Drumhiller, DPT, PT
• Andrew M Duda III, MD
• Brooklynn Duffey, MSOT, OTRL
• Amanda Dugan, DDS
• Matthew James Dugan, PA
• Charneil Donyell Dukes, NURSE PRACTITIONER
• Samantha Margret Dunleavy-Shotsberger, OT

• Speech-Language Pathologist in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.