Jillian Sherrin, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12487 Issued in NC

Practice address

205 Magnolia Cir
Clayton, NC 27527-8875

Phone

(919) 335-6742

Fax

(919) 763-1328

NPI assigned

Aug 10, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Neuse River Speech and Language Therapy PLLC

  • Speech-Language Pathologist
  • Clayton, NC
  • NPI 1508337379
  NPD (past)

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639694656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 E BOOKER DAIRY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779405",
            "telephone_number": "919-938-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAGNOLIA CIR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275278875",
            "telephone_number": "919-335-6742",
            "fax_number": "919-763-1328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 E Booker Dairy Rd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275779405",
            "country_code": "US",
            "telephone_number": "919-938-3824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRIN",
        "first_name": "JILLIAN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1508337379",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Shaw
• Lauren Shaw
• Kathryn Shealy
• Joan S Shepherd
• Tanisha A Shepherd
• Shivani Sheth, PA-C
• Rahul A Shimpi, MD
• Julia Shingleton, M.S., SLP
• Shining Star Adult Care
• Stephanie Shipwash, MAOM, DACM, L. AC

• Speech-Language Pathologist in Clayton, NC
• Providers in Clayton, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.