Individual provider Active NPI

Sara Elise Craig, SLP

  • Speech-Language Pathologist
  • Lexington, KY
National Provider Identifier
1043900426
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
285819 Issued in KY
Practice address
290 Alumni Dr
Lexington, KY 40503-1601
Phone
(859) 218-2322
Fax
(859) 257-0284
NPI assigned
May 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Student in an Organized Health Care Education/Training Program 390200000X
Speech-Language Pathologist 235Z00000X 285819 KY Primary

Addresses

Primary practice location

290 Alumni Dr
Lexington, KY 40503-1601

Mailing address

900 South Limestone
Lexington, KY 40536-0200

Other practice location 1

900 South Limestone
Lexington, KY 40536-0200
Phone (859) 323-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711001222 KY Practitioner - Other (Non-Physician) 9638530678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
285819KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince May 14, 2024 Accepting new patients

Locations

290 Alumni Dr
Lexington, KY 40503
Phone (859) 218-2322

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

900 S Limestone
Lexington, KY 40536
Phone (859) 218-0483

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": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1043900426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SOUTH LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ALUMNI DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031601",
            "telephone_number": "859-218-2322",
            "fax_number": "859-257-0284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 South Limestone",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360200",
            "country_code": "US",
            "telephone_number": "859-323-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "SARA",
        "middle_name": "ELISE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "285819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.