Active NPI
Deena Sheila Sharp
- Speech-Language Pathologist
- Woodland Hills, CA
National Provider Identifier
1992040661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 1468
- Practice address
- 6303 Owensmouth Ave
FL 10
Woodland Hills, CA 91367-2264 - Phone
- (323) 391-1622
- Fax
- (323) 391-1622
- NPI assigned
- Dec 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 1468 | CA | Primary |
Addresses
Primary practice location
6303 Owensmouth Ave
FL 10
Woodland Hills, CA 91367-2264
Mailing address
6303 Owensmouth Ave
FL 10 Directed Specialized Services
Woodland Hills, CA 91367
Phone (323) 391-1622
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 |
|---|---|---|---|
| SP 1468 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1992040661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6303 OWENSMOUTH AVE",
"address_2": "FL 10 DIRECTED SPECIALIZED SERVICES",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "91367",
"telephone_number": "323-391-1622",
"fax_number": "323-391-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6303 OWENSMOUTH AVE",
"address_2": "FL 10",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913672264",
"telephone_number": "323-391-1622",
"fax_number": "323-391-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "DEENA",
"middle_name": "SHEILA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-06",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 1468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.