Active NPI
Sheri Lynn Mullen, SLP
- Speech-Language Pathologist
- Cape Coral, FL
National Provider Identifier
1588808968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA4506
- Practice address
- 3046 Del Prado Blvd S Ste 2a
Cape Coral, FL 33904-7215 - Phone
- (239) 691-1555
- Fax
- (239) 549-5585
- NPI assigned
- Apr 29, 2009
- Last updated
- Apr 29, 2009
- 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 | SA4506 | FL | Primary |
Addresses
Primary practice location
3046 Del Prado Blvd S Ste 2a
Cape Coral, FL 33904-7215
Mailing address
PO Box 60051
Fort Myers, FL 33906-6051
Phone (239) 691-1555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174747489 | Other | FL | MEDICARE GROUP UPIN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA4506 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1588808968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60051",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339066051",
"telephone_number": "239-691-1555",
"fax_number": "239-549-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3046 DEL PRADO BLVD S STE 2A",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339047215",
"telephone_number": "239-691-1555",
"fax_number": "239-549-5585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "SHERI",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-29",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA4506",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP UPIN",
"identifier": "1174747489",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.