Active NPI
Sara Graves, M.S., CCC-SLP
- Speech-Language Pathologist
- Melissa, TX
National Provider Identifier
1053073205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 111682
- Practice address
- 4401 Cypress Dr
Melissa, TX 75454-2687 - Phone
- (214) 386-2432
- NPI assigned
- Oct 5, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 111682 | TX | Primary |
Addresses
Primary practice location
4401 Cypress Dr
Melissa, TX 75454-2687
Mailing address
3600 Dogwood Rd
Melissa, TX 75454-2559
Phone (469) 831-6716
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111682 | Other | TX | TX SLP LICENSE |
| 14085717 | Other | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA) |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111682 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1053073205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 DOGWOOD RD",
"city": "MELISSA",
"state": "TX",
"postal_code": "754542559",
"telephone_number": "469-831-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 CYPRESS DR",
"city": "MELISSA",
"state": "TX",
"postal_code": "754542687",
"telephone_number": "214-386-2432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "SARA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "111682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX SLP LICENSE",
"identifier": "111682",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA)",
"identifier": "14085717",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Melissa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.