Organization Active NPI

Shout Speech & Language Therapy

  • Speech-Language Pathologist
  • Okeechobee, FL
National Provider Identifier
1437459534
Registry record updated Oct 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30732 Issued in FL
Legal business name
SHOUT SPEECH & LANGUAGE THERAPY
Practice address
1126 S Parrott Ave
Okeechobee, FL 34974-5270
Phone
(828) 399-0979
NPI assigned
Oct 24, 2010
Last updated
Oct 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2010

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

Authorized official

Name
Mrs. Sherley Laurin Jackson, MS, CCC-SLPNPI 1942436829
Title
Speech-Language Pathologist
Phone
(828) 399-0979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30732 FL Primary

Addresses

Primary practice location

1126 S Parrott Ave
Okeechobee, FL 34974-5270

Mailing address

1471 SW 86TH Ave
Okeechobee, FL 34974-3342
Phone (828) 399-0979

National Provider Directory

National Provider Directory

Locations

1126 S Parrott Ave
Okeechobee, FL 34974
Phone (828) 399-0979

300 Lester Mill Rd
Ste 120
Locust Grove, GA 30248

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287878400000",
    "number": "1437459534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 SW 86TH AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349743342",
            "telephone_number": "828-399-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 S PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349745270",
            "telephone_number": "828-399-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOUT SPEECH & LANGUAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-24",
        "last_updated": "2010-10-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHERLEY",
        "authorized_official_middle_name": "LAURIN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "828-399-0979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "30732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2010; 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.