Individual provider Active NPI

Sarah Kristine Farison, M.S.

  • Speech-Language Pathologist
  • Anthem, AZ
National Provider Identifier
1053801514
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP11609 Issued in AZ
Practice address
3222 W Fuller Dr
Anthem, AZ 85086-6004
Phone
(847) 596-0445
NPI assigned
May 10, 2018
Last updated
Sep 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP11609 AZ Primary

Addresses

Primary practice location

3222 W Fuller Dr
Anthem, AZ 85086-6004

Mailing address

3222 W Fuller Dr
Anthem, AZ 85086-6004
Phone (847) 596-0445

Other names 1

  • Sarah Kristine Micksch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200804002549 AZ Practitioner - Qualified Speech Language Pathologist 9335564673 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP11609AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Interaactive Speech Therapy Speech-Language Pathologist CurrentSince Sep 8, 2025 Accepting new patients
Theracare PLLC Speech-Language Pathologist CurrentSince Jun 15, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1053801514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 W FULLER DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866004",
            "telephone_number": "847-596-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 W FULLER DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866004",
            "telephone_number": "847-596-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARISON",
        "first_name": "SARAH",
        "middle_name": "KRISTINE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP11609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MICKSCH",
            "middle_name": "KRISTINE",
            "credential": "B.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.