Sheri Keller

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

005690 Issued in NY

Practice address

525 Half Hollow Rd
Dix Hills, NY 11746-5828

Phone

(631) 592-3047

NPI assigned

Feb 24, 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

Other names 1

• Sheri Glass Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Half Hollow Hills CSD

  • Local Education Agency (LEA)
  • Dix Hills, NY
  • NPI 1407982465
  NPD (past)

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1821395047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 KRISTIN LN",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117881235",
            "telephone_number": "631-265-8007",
            "fax_number": "631-592-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 HALF HOLLOW RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465828",
            "telephone_number": "631-592-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "SHERI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "GLASS",
            "credential": "MACCCSLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leigh Anne Kealy
• Jenevieve Marguerite Kearns, LMSW
• Kaleigh Keenan, LMSW
• Laura Keith, LPN
• Pariskevi Kekatos, DPM
• Paul Kevin Kelly
• Virginia Kelly
• Andrea Lee Kenedy, LSLP
• Kelly Kennedy-Bauza
• Laura Kessler, PSYD

• Speech-Language Pathologist in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.