Active NPI
Scheryiah J Southard, M.A., CCC-SLP
- Speech-Language Pathologist
- Capitan, NM
National Provider Identifier
1902325624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- PO Box 278
Capitan, NM 88316-0278 - Phone
- (575) 354-8500
- NPI assigned
- Sep 13, 2017
- Last updated
- Sep 17, 2024
- 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 | Primary |
Addresses
Primary practice location
PO Box 278
Capitan, NM 88316-0278
Mailing address
PO Box 1572
Capitan, NM 88316-1572
Phone (575) 973-8220
Other practice location 1
2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000
Other practice location 2
683 State Ave
Dickinson, ND 58601-4660
Phone (701) 483-9400
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omaha Therapy, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1902325624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1572",
"city": "CAPITAN",
"state": "NM",
"postal_code": "883161572",
"telephone_number": "575-973-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 278",
"city": "CAPITAN",
"state": "NM",
"postal_code": "883160278",
"telephone_number": "575-354-8500"
}
],
"practiceLocations": [
{
"address_1": "2500 Fairway St",
"address_purpose": "LOCATION",
"city": "Dickinson",
"state": "ND",
"postal_code": "586012639",
"country_code": "US",
"telephone_number": "701-456-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "683 State Ave",
"address_purpose": "LOCATION",
"city": "Dickinson",
"state": "ND",
"postal_code": "586014660",
"country_code": "US",
"telephone_number": "701-483-9400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOUTHARD",
"first_name": "SCHERYIAH",
"middle_name": "J",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capitan, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.