Sara Lynn Botma

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP2108 Issued in AZ

Practice address

793 N Alma School Rd
Suite D4
Chandler, AZ 85224-3681

Phone

(480) 626-4142

Fax

(480) 626-7370

NPI assigned

Dec 11, 2006

Last updated

May 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1023178969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E KENT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 N ALMA SCHOOL RD",
            "address_2": "SUITE D4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243681",
            "telephone_number": "480-626-4142",
            "fax_number": "480-626-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTMA",
        "first_name": "SARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP2108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "724056",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.