Active NPI
Joanna Jean King, MS CCC SLP
- Speech-Language Pathologist
- Woonsocket, RI
National Provider Identifier
1710054382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 96 2ND Ave
Woonsocket, RI 02895-5153 - Phone
- (401) 597-5646
- Fax
- (401) 767-4860
- NPI assigned
- Nov 29, 2006
- 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 | Primary |
Addresses
Primary practice location
96 2ND Ave
Woonsocket, RI 02895-5153
Mailing address
96 2ND Ave
Woonsocket, RI 02895-5153
Phone (401) 597-5646
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309196 | Other | RI | BC BS |
| KC02260 | Medicaid | RI | |
| 4224 | Other | RI | NEIGHBORHOOD HEALTH |
| 413058 | Other | RI | BLUE CHIP |
| 4600187 | Other | RI | UNITED HEALTHCARE |
Other names 1
- Ms. Joanna Jean Sherry
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1710054382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 2ND AVE",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028955153",
"telephone_number": "401-597-5646",
"fax_number": "401-767-4860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 2ND AVE",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028955153",
"telephone_number": "401-597-5646",
"fax_number": "401-767-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JOANNA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "309196",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "KC02260",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "4224",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "413058",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4600187",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNA",
"last_name": "SHERRY",
"middle_name": "JEAN",
"prefix": "MS.",
"credential": "MS CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.