Sharice N Wallace, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015733-1 Issued in NY

Practice address

20306 109TH Ave
Saint Albans, NY 11412-1339

Phone

(718) 464-5544

NPI assigned

Dec 17, 2008

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

Other names 1

• Ms. Sharice N James Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1699911990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20306 109TH AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121339",
            "telephone_number": "718-464-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20306 109TH AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121339",
            "telephone_number": "718-464-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SHARICE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015733-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH  LANGUAGE PATHOLOGIST NYS LICENSE",
            "identifier": "015733-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARICE",
            "last_name": "JAMES",
            "middle_name": "N",
            "prefix": "MS.",
            "credential": "MA CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vanessa Vincent
• Morgan Wagner
• Sonia Evadne Walker-Adamson, D.O.
• Brenda Maud Walker, RN
• Julene Denise Walker, FNP
• Winston Wallace
• Grace Too Shao Wang, LMHC, CASACT
• Merle Beverley Warren
• Rahat Waseem, PHARMD
• Nadia Wasooq, RPH

• Speech-Language Pathologist in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.