Wendy Michele Sharp, MS CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115752 Issued in TX

Practice address

2602 S Belt Line Rd
Grand Prairie, TX 75052-5344

Phone

(972) 264-6141

NPI assigned

Jul 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1790983047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD",
            "address_2": "SUITE 375",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675688",
            "telephone_number": "615-220-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 S BELT LINE RD",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525344",
            "telephone_number": "972-264-6141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Stonecrest Blvd",
            "address_2": "Suite 375",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371675688",
            "country_code": "US",
            "telephone_number": "615-220-5796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "WENDY",
        "middle_name": "MICHELE",
        "credential": "MS CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.