Active NPI
Sharmila Quenimherr, M.S.
- Speech-Language Pathologist
- Hawthorne, CA
National Provider Identifier
1700107414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 19172
- Practice address
- 4455 W. 117TH St.
4TH FL.
Hawthorne, CA 90250 - Phone
- (310) 838-1552
- Fax
- (310) 838-1553
- NPI assigned
- Jun 16, 2010
- 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 | 19172 | CA | Primary |
Addresses
Primary practice location
4455 W. 117TH St.
4TH FL.
Hawthorne, CA 90250
Mailing address
4455 W. 117TH St.
4TH FL.
Hawthorne, CA 90250-2241
Phone (310) 838-1552
Other practice location 1
8885 Venice Blvd
Ste. 105
Los Angeles, CA 90034-3242
Phone (310) 838-1552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199811910063 | Other | CA | STATE |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19172 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher Ryan LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Integrated Therapy Solutions | Speech-Language Pathologist | Current | Accepting new patients |
Locations
4455 W 117th St
Fl 4
Hawthorne, CA 90250
Phone (310) 838-1552
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Hawthorne, CA
- NPI 1528194685
-
- Occupational Therapist
- Hawthorne, CA
- NPI 1942530407
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533340800000",
"number": "1700107414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 W. 117TH ST.",
"address_2": "4TH FL.",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502241",
"telephone_number": "310-838-1552",
"fax_number": "310-838-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 W. 117TH ST.",
"address_2": "4TH FL.",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "90250",
"telephone_number": "310-838-1552",
"fax_number": "310-838-1553"
}
],
"practiceLocations": [
{
"address_1": "8885 Venice Blvd",
"address_2": "Ste. 105",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900343242",
"country_code": "US",
"telephone_number": "310-838-1552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUENIMHERR",
"first_name": "SHARMILA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-16",
"last_updated": "2018-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "19172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "199811910063",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.