Active NPI
Sharon Marie Garlick, MA-SLP/CCC LICENSED
- Speech-Language Pathologist
- Rockford, IL
National Provider Identifier
1871008920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146004814
- Practice address
- 3805 Rural St
Rockford, IL 61107-3555 - Phone
- (815) 229-2485
- NPI assigned
- Dec 12, 2017
- 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 | 146004814 | IL | Primary |
Addresses
Primary practice location
3805 Rural St
Rockford, IL 61107-3555
Mailing address
3805 Rural St
Rockford, IL 61107-3555
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 |
|---|---|---|---|
| 146004814 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1871008920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 RURAL ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611073555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 RURAL ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611073555",
"telephone_number": "815-229-2485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLICK",
"first_name": "SHARON",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MA-SLP/CCC LICENSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-12",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146004814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.