Individual provider Active NPI

Sherrill Morris, CCC-SLP

  • Speech-Language Pathologist
  • Dekalb, IL
National Provider Identifier
1609955590
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1 Lucinda Ave
Northern Illinois Univ. Speech-Language-Hearing Clinic
Dekalb, IL 60115-2899
Phone
(815) 753-5472
Fax
(815) 753-9123
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

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

Addresses

Primary practice location

1 Lucinda Ave
Northern Illinois Univ. Speech-Language-Hearing Clinic
Dekalb, IL 60115-2899

Mailing address

1 Lucinda Ave
Northern Illinois Univ. Speech-Language-Hearing Clinic
Dekalb, IL 60115-2899

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
146-007603ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609955590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LUCINDA AVE",
            "address_2": "NORTHERN ILLINOIS UNIV. SPEECH-LANGUAGE-HEARING CLINIC",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LUCINDA AVE",
            "address_2": "NORTHERN ILLINOIS UNIV. SPEECH-LANGUAGE-HEARING CLINIC",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152899",
            "telephone_number": "815-753-5472",
            "fax_number": "815-753-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SHERRILL",
        "name_prefix": "Dr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.