Active NPI
Denise Sprouse Harrison, M.ED.,CCC/SLP
- Speech-Language Pathologist
- Grand Island, FL
National Provider Identifier
1518013713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA1994
- Practice address
- 36006 Via Gran
Grand Island, FL 32735-9625 - Phone
- (352) 483-1181
- Fax
- (352) 483-1181
- NPI assigned
- Jan 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SA1994 | FL | Primary |
Addresses
Primary practice location
36006 Via Gran
Grand Island, FL 32735-9625
Mailing address
36006 Via Gran
Grand Island, FL 32735-9625
Phone (352) 483-1181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 880181900 | Medicaid | FL |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA1994 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1518013713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36006 VIA GRAN",
"city": "GRAND ISLAND",
"state": "FL",
"postal_code": "327359625",
"telephone_number": "352-483-1181",
"fax_number": "352-483-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36006 VIA GRAN",
"city": "GRAND ISLAND",
"state": "FL",
"postal_code": "327359625",
"telephone_number": "352-483-1181",
"fax_number": "352-483-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "DENISE",
"middle_name": "SPROUSE",
"credential": "M.ED.,CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-28",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA1994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "880181900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.