Active NPI
Sherry D. Burris
- Speech-Language Pathologist
- Riverview, FL
National Provider Identifier
1851584692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 982
- Practice address
- 10022 Water Works LN
Riverview, FL 33578-5301 - Phone
- (813) 663-9828
- Fax
- (813) 677-5029
- NPI assigned
- Aug 24, 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 | SA 982 | FL | Primary |
Addresses
Primary practice location
10022 Water Works LN
Riverview, FL 33578-5301
Mailing address
10022 Water Works LN
Riverview, FL 33578-5301
Phone (813) 663-9828
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 |
|---|---|---|---|
| SA 982 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1851584692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10022 WATER WORKS LN",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335785301",
"telephone_number": "813-663-9828",
"fax_number": "813-677-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10022 WATER WORKS LN",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335785301",
"telephone_number": "813-663-9828",
"fax_number": "813-677-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRIS",
"first_name": "SHERRY",
"middle_name": "D.",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-24",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.