Individual provider Active NPI

Jessica Sherman, MS, CFY/SLP

  • Speech-Language Pathologist
  • Missouri City, TX
National Provider Identifier
1952655847
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108424 Issued in TX
Practice address
3424 FM 1092 Rd
Suite 200
Missouri City, TX 77459-2285
Phone
(281) 403-5437
Fax
(888) 876-2741
NPI assigned
Oct 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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 108424 TX Primary

Addresses

Primary practice location

3424 FM 1092 Rd
Suite 200
Missouri City, TX 77459-2285

Mailing address

6140 Highway 6
#90
Missouri City, TX 77459-3802
Phone (281) 403-5437

Other identifiers 1

IdentifierTypeStateIssuer
108424OtherTXSTATE BOARD

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 Science

State licenses

LicenseStateTypeSpecialty
108424TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Speech Enrichment Center, LP Speech-Language Pathologist Past Accepting new patients
Confident Kids Therapy LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1952655847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 HIGHWAY 6",
            "address_2": "#90",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593802",
            "telephone_number": "281-403-5437",
            "fax_number": "888-876-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 FM 1092 RD",
            "address_2": "SUITE 200",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592285",
            "telephone_number": "281-403-5437",
            "fax_number": "888-876-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "JESSICA",
        "credential": "MS, CFY/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD",
            "identifier": "108424",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.