Active NPI
Sherne-Marie McMillan, MA, CCC-SLP
- Speech-Language Pathologist
- Wilmington, DE
National Provider Identifier
1902243918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30315
- Practice address
- 750 Shipyard Dr
Suite 100
Wilmington, DE 19801-5157 - Phone
- (302) 658-3000
- NPI assigned
- May 30, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | O1-0001271 | DE | |
| Speech-Language Pathologist | 235Z00000X | 30315 | CA | Primary |
Addresses
Primary practice location
750 Shipyard Dr
Suite 100
Wilmington, DE 19801-5157
Mailing address
619 Idaho St
Wenatchee, WA 98801-2842
Phone (458) 836-8216
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30315 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1902243918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 IDAHO ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012842",
"telephone_number": "458-836-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 SHIPYARD DR",
"address_2": "SUITE 100",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198015157",
"telephone_number": "302-658-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "SHERNE-MARIE",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-30",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DE",
"license": "O1-0001271",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "30315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.