Individual provider Active NPI

Melissa Sarge

  • Speech-Language Pathologist
  • Prescott, AZ
National Provider Identifier
1023442837
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP8431 Issued in AZ
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

Updated by the provider on Aug 28, 2013

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 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

Enrollment IDStateProvider typePAC IDDetails
I20200406003407 AZ Practitioner - Qualified Speech Language Pathologist 0345679734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
High Country Early Intervention IncGroup PAC ID 7416381785, 4 clinicians

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

LicenseStateTypeSpecialty
TSLP8431AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Early Intervention Inc Speech-Language Pathologist CurrentSince Sep 9, 2019 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.

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.

Verify at the official NPI Registry.