Active NPI
Sharnise Pearson
- Speech-Language Pathologist
- Orange, CA
National Provider Identifier
1790215911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 27817
- Practice address
- 1835 W la Veta Ave
Orange, CA 92868-4132 - Phone
- (714) 978-6800
- NPI assigned
- Jun 20, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 27817 | CA | Primary |
Addresses
Primary practice location
1835 W la Veta Ave
Orange, CA 92868-4132
Mailing address
207 Solomon Dr
Ellenwood, GA 30294-4508
Phone (678) 983-0794
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27817 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1790215911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 SOLOMON DR",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302944508",
"telephone_number": "678-983-0794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 W LA VETA AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684132",
"telephone_number": "714-978-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "SHARNISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "27817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.