Rachael Ann Sparks, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011413 Issued in PA

Practice address

110 Campus Drive
Bradford, PA 16701

Phone

(814) 887-5591

Fax

(814) 887-5666

NPI assigned

Jul 1, 2013

Last updated

Jul 1, 2013By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1043650419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CAMPUS DR",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011982",
            "telephone_number": "814-887-5591",
            "fax_number": "814-887-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CAMPUS DRIVE",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "16701",
            "telephone_number": "814-887-5591",
            "fax_number": "814-887-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "RACHAEL",
        "middle_name": "ANN",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulinus Joseph Sorg, PT
• Abaz Sosic, MD
• Jennifer L South, PC
• Southern Tier Community Health Center Network, Inc. (Universal Primary Care)
• Cheri K Sowash, RN
• Nicole A Stark, RN
• Eugena Baziuk Stephan, DMD
• Jackson L Stewart, PSYCHOLOGIST
• Alaina Dorothy Strom, CF-SLP
• Erin Strotman, MA, NCC, LPC

• Speech-Language Pathologist in Bradford, PA
• Providers in Bradford, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.