Active NPI
Sharon E Prexta, MA CCC-SLP
- Speech-Language Pathologist
- Westlake, OH
National Provider Identifier
1861617631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP4413
- Practice address
- 28721 Woodmill Dr
Westlake, OH 44145-2087 - Phone
- (440) 617-9042
- NPI assigned
- Apr 16, 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 | SP4413 | OH | Primary |
Addresses
Primary practice location
28721 Woodmill Dr
Westlake, OH 44145-2087
Mailing address
28721 Woodmill Dr
Westlake, OH 44145-2087
Phone (440) 617-9042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000315430 | Other | OH | ANTHEM # |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP4413 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861617631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28721 WOODMILL DR",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452087",
"telephone_number": "440-617-9042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28721 WOODMILL DR",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452087",
"telephone_number": "440-617-9042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREXTA",
"first_name": "SHARON",
"middle_name": "E",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP4413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM #",
"identifier": "000000315430",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westlake, OH
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.