Individual provider Active NPI

Natalie P Sheridan, SLP

  • Speech-Language Pathologist
  • Wilbraham, MA
National Provider Identifier
1932924206
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7520 Issued in MA
Practice address
2030 Boston Rd
Wilbraham, MA 01095-3100
Phone
(413) 426-1983
NPI assigned
Nov 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7520 MA Primary

Addresses

Primary practice location

2030 Boston Rd
Wilbraham, MA 01095-3100

Mailing address

94 Thresher Rd
Hampden, MA 01036-9117
Phone (413) 426-1983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216001639 MA Practitioner - Qualified Speech Language Pathologist 6800322751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Valley Speech and Swallowing Solutions LLCGroup PAC ID 2466735451, 3 clinicians

Practice addresses (Care Compare)

2040 Boston Rd
Suite 18
Wilbraham, MA 01095-1385
Phone (413) 289-4746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7520MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Valley Speech and Swallowing Solutions LLC Speech-Language Pathologist CurrentSince Nov 29, 2024 Accepting new patients

Locations

2040 Boston Rd
Ste 18
Wilbraham, MA 01095
Phone (413) 289-4746

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1932924206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 THRESHER RD",
            "city": "HAMPDEN",
            "state": "MA",
            "postal_code": "010369117",
            "telephone_number": "413-426-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010953100",
            "telephone_number": "413-426-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "NATALIE",
        "middle_name": "P",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.