Active NPI
Paula Ann Sherwood, SLP
- Speech-Language Pathologist
- Crane, MO
National Provider Identifier
1841496668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 105142
- Practice address
- 1172 Blackberry LN
Crane, MO 65633-9249 - Phone
- (417) 723-8272
- Fax
- (417) 723-8271
- NPI assigned
- Jun 27, 2007
- Last updated
- Jul 8, 2007
- 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 Pathologist | 235Z00000X | 105142 | MO | Primary |
Addresses
Primary practice location
1172 Blackberry LN
Crane, MO 65633-9249
Mailing address
1172 Blackberry LN
Crane, MO 65633-9249
Phone (417) 723-8272
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 |
|---|---|---|---|
| 105142 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841496668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 BLACKBERRY LN",
"city": "CRANE",
"state": "MO",
"postal_code": "656339249",
"telephone_number": "417-723-8272",
"fax_number": "417-723-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1172 BLACKBERRY LN",
"city": "CRANE",
"state": "MO",
"postal_code": "656339249",
"telephone_number": "417-723-8272",
"fax_number": "417-723-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWOOD",
"first_name": "PAULA",
"middle_name": "ANN",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "105142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crane, MO
- Mike Stuart Enterprises, Inc. (Lakeland Pharmacy)
- N & R of Crane LLC (Ozark Mountain Regional Healthcare)
- Ernesto T Padre, PT
- Rolling Hills Home Care LLC
- School District R 3 Crane
- Simply Well Counseling, LLC
- Tdiii,Inc (Crane Residential Care Home)
- Damon J Thomas, M.D.
- Pearlie Ursais, OTR/L
- Hannah Emile Wagner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.