Active NPI
Sharon Marie Farwell, MS CCC-SLP
- Speech-Language Pathologist
- Mishawaka, IN
National Provider Identifier
1508664236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22002123A
- Practice address
- 1540 S Logan St
Mishawaka, IN 46544-4739 - Phone
- (574) 257-8629
- NPI assigned
- Mar 6, 2025
- 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 | 22002123A | IN | Primary |
Addresses
Primary practice location
1540 S Logan St
Mishawaka, IN 46544-4739
Mailing address
1128 Wallingford CT
Mishawaka, IN 46544-1400
Phone (574) 286-6420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250325002633 | IN | Practitioner - Qualified Speech Language Pathologist | 3375066954 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
282 Johnston St
Goshen, IN 46528-2558
Phone (574) 213-6879
343 E 90TH Dr
Merrillville, IN 46410-8152
Phone (219) 207-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1540 S Logan St
Mishawaka, IN 46544
Phone (574) 207-0833
Organizations & group practices 25
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
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IN, Speech-Language Pathologist
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- NPI 1235780115
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- NPI 1245755487
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- NPI 1376038646
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- NPI 1376073262
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- NPI 1467892356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1508664236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 WALLINGFORD CT",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465441400",
"telephone_number": "574-286-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 S LOGAN ST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465444739",
"telephone_number": "574-257-8629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARWELL",
"first_name": "SHARON",
"middle_name": "MARIE",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-06",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22002123A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.