Active NPI
Sharie Bagwell
- Speech-Language Assistant
- Long Beach, CA
National Provider Identifier
1851613160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SPA 860
- Practice address
- 4720 E 2ND St Ste 1
Long Beach, CA 90803-5311 - Phone
- (562) 439-6244
- NPI assigned
- Feb 28, 2010
- Sex
- Female
- Sole proprietor
- No
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 Assistant | 2355S0801X | SPA 860 | CA | Primary |
Addresses
Primary practice location
4720 E 2ND St Ste 1
Long Beach, CA 90803-5311
Mailing address
4720 E 2ND St Ste 1
Long Beach, CA 90803-5311
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 |
|---|---|---|---|
| SPA 860 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jane Haddad | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Long Beach, CA
- NPI 1366775306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267315200000",
"number": "1851613160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 E 2ND ST STE 1",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908035311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 E 2ND ST STE 1",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908035311",
"telephone_number": "562-439-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGWELL",
"first_name": "SHARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-28",
"last_updated": "2010-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "SPA 860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.