Individual provider Active NPI

Sherry Lee Brooks, MED. CCC-SLP

  • Speech-Language Pathologist
  • Corpus Christi, TX
National Provider Identifier
1700164571
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
112716 Issued in TX
Practice address
2174 Arman St
Corpus Christi, TX 78418-7012
Phone
(910) 333-7254
NPI assigned
Jul 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP2555 ME
Speech-Language Pathologist 235Z00000X 2202002841 VA
Speech-Language Pathologist 235Z00000X 112716 TX Primary

Addresses

Primary practice location

2174 Arman St
Corpus Christi, TX 78418-7012

Mailing address

2174 Arman St
Corpus Christi, TX 78418-7012
Phone (910) 333-7254

Other practice location 1

146 State House Sta
Augusta, ME 04333-6006
Phone (207) 624-6600

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

State licenses

LicenseStateTypeSpecialty
SP2555MEMDSpeech-Language Pathologist
112716TXMDSpeech-Language Pathologist
2202002841VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1700164571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2174 ARMAN ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784187012",
            "telephone_number": "910-333-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 ARMAN ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784187012",
            "telephone_number": "910-333-7254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 State House Sta",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043336006",
            "country_code": "US",
            "telephone_number": "207-624-6600",
            "fax_number": "207-624-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SHERRY",
        "middle_name": "LEE",
        "credential": "MED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2555",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002841",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.