Active NPI
Melissa Sarge
- Speech-Language Pathologist
- Prescott, AZ
National Provider Identifier
1023442837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP8431
- Practice address
- 3105 Clearwater Dr
Prescott, AZ 86305-7166 - Phone
- (928) 776-4349
- Fax
- (928) 776-1369
- NPI assigned
- Aug 28, 2013
- 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 | TSLP8431 | AZ | Primary |
Addresses
Primary practice location
3105 Clearwater Dr
Prescott, AZ 86305-7166
Mailing address
7286 N Bird Song LN
Prescott Valley, AZ 86315-9029
Phone (928) 776-4349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3160 Stillwater Dr
Prescott, AZ 86305-7151
Phone (928) 776-4349
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP8431 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Early Intervention Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
3160 Stillwater Dr
Prescott, AZ 86305
Phone (928) 776-4349
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.
-
dba Karen Ann Fay
- Home Health Agency
- Prescott, AZ
- NPI 1144332107
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1023442837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7286 N BIRD SONG LN",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863159029",
"telephone_number": "928-776-4349",
"fax_number": "928-776-1369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 CLEARWATER DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863057166",
"telephone_number": "928-776-4349",
"fax_number": "928-776-1369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARGE",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP8431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.