Individual provider Active NPI

Sarah Marie Disney

  • Speech-Language Assistant
  • Goodyear, AZ
National Provider Identifier
1023740982
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA13857 Issued in AZ
Practice address
1646 N Litchfield Rd Ste B105
Goodyear, AZ 85395-1203
Phone
(623) 935-6040
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA13857 AZ Primary

Addresses

Primary practice location

1646 N Litchfield Rd Ste B105
Goodyear, AZ 85395-1203

Mailing address

1646 N Litchfield Rd Ste B105
Goodyear, AZ 85395-1203
Phone (623) 935-6040

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL therapy@weecarecorp.com Direct

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

LicenseStateTypeSpecialty
SLPA13857AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wee Care Corporation CurrentSince Jul 3, 2022 Accepting new patients

Locations

1646 N Litchfield Rd
Ste B105
Goodyear, AZ 85395
Phone (623) 935-6040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1023740982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 N LITCHFIELD RD STE B105",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951203",
            "telephone_number": "623-935-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 N LITCHFIELD RD STE B105",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951203",
            "telephone_number": "623-935-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISNEY",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA13857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapy@weecarecorp.com",
            "affiliation": "N",
            "endpointDescription": "therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1646 N Litchfield Rd Ste B105",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853951203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.