Sherry Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

C-5008 Issued in NM

Practice address

1612 Hutton Ave
Farmington, NM 87402-7614

Phone

(505) 599-8601

NPI assigned

Oct 25, 2011

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1811273691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 WINDSOR DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 HUTTON AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874027614",
            "telephone_number": "505-599-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHERRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-5008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rae Smith, PHARMD
• Karlee A Smith
• Martin A Smith, DC
• Michaela Cruz Smith, NP
• Samara Smith, CCC-SLP
• Stephen Smith, PA-C
• Tara Colleen Smith, C.N.P.
• Van C Smith, DDS
• Smiths Food & Drug Centers Inc
• Robert Bradford Snapp, RPH

• All providers in Farmington, NM
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.