Sara Hollister Spencer, M.S. CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3088 Issued in CA

Practice address

90 Woodacre Dr
San Francisco, CA 94132-1658

Phone

(415) 661-2709

Fax

(415) 664-8850

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Fog City Speech and Language Therapy P.C.

  • Speech-Language Pathologist
  • San Francisco, CA
  • NPI 1063137420
  NPD (past)
• Shannon Kong, Ms, CCC

  • Speech-Language Pathologist
  • San Francisco, CA
  • NPI 1720371990
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1053485169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WOODACRE DR STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321658",
            "telephone_number": "415-661-2709",
            "fax_number": "415-664-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WOODACRE DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321658",
            "telephone_number": "415-661-2709",
            "fax_number": "415-664-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SARA",
        "middle_name": "HOLLISTER",
        "credential": "M.S. CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP3088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Enid Spencer
• Jessica Lynne Spencer, MS, OTR/L
• Laurene Spencer, MD
• Megan E Spencer, NP
• Renee L Spencer, MFT
• Sherry Spencer, M.A., BCBA
• Tiquan Thomas Spencer
• Cathy Spensley
• Kevin V. Spera, PMHCNS, BC
• Sophia Quinn Sperber

• Speech-Language Pathologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.