Jennifer Sharp, MS-CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6002 Issued in TN

Practice address

514 S Brown St Ste 600
Springfield, TN 37172-2948

Phone

(161) 538-2050

Fax

(615) 382-0500

NPI assigned

Jun 8, 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

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.

• Shine Pediatric Therapy

  • Occupational Therapist
  • Springfield, TN
  • NPI 1891041133
  NPD (past)
• Springfield Pediatric Therapy Center PLLC

  • Specialist
  • Springfield, TN
  • NPI 1639303142
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1679002976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S BROWN ST STE 600",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722948",
            "telephone_number": "16153820500",
            "fax_number": "615-382-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S BROWN ST STE 600",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722948",
            "telephone_number": "161-538-2050",
            "fax_number": "615-382-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "JENNIFER",
        "credential": "MS-CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q029191",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassidy Ann Seiler, PA-C
• Alejandra Serrano, SLP-CCC
• Kayla Shackleford, MS, CCC-SLP
• Sharp Spine Center, LLC
• Brian Lane Sharp, D.C.
• Robert Allen Shearer, MD
• Marlon Lavell Shell, M.D.
• Amy Jo Sheppard, PTA
• Sadie L Shields, M.S. CCC-SLP
• Shine Pediatric Therapy

• Speech-Language Pathologist in Springfield, TN
• Providers in Springfield, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.