Active NPI
Shernitria Pettit, SLP-ASSISTANT
- Speech-Language Assistant
- Spring, TX
National Provider Identifier
1750712949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 36754
- Practice address
- 16835 Deer Creek Dr
Spring, TX 77379-4968 - Phone
- (281) 379-4373
- NPI assigned
- Dec 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | 36754 | TX | Primary |
Addresses
Primary practice location
16835 Deer Creek Dr
Spring, TX 77379-4968
Mailing address
16835 Deer Creek Dr
Spring, TX 77379-4968
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36754 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1750712949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16835 DEER CREEK DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773794968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16835 DEER CREEK DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773794968",
"telephone_number": "281-379-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTIT",
"first_name": "SHERNITRIA",
"credential": "SLP-ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-12",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "36754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.