Shari Weller, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

006040-1 Issued in NY

Practice address

610 Gardiners Ave
Gardiners Ave School
Levittown, NY 11756-3714

Phone

(516) 520-8485

NPI assigned

Oct 10, 2011

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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1477837490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 GARDINERS AVE",
            "address_2": "GARDINERS AVE SCHOOL",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563714",
            "telephone_number": "516-520-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 GARDINERS AVE",
            "address_2": "GARDINERS AVE SCHOOL",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563714",
            "telephone_number": "516-520-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "SHARI",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006040-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna R Weis, CPNP
• Karen Weiss-Camhi, DMD
• Elyse Weiss
• Jay M Weiss, MD
• Michele Ivy Weiss, AU.D, CCC-A, FAAA, F
• Wellness Matters MSM LLC
• Veronica Ann Wicks, D.C.
• Patricia Wiertz
• Shereeta Melissa Williams, AU.D.
• Willis Ventures LLC

• Speech-Language Pathologist in Levittown, NY
• Providers in Levittown, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.