Individual provider Active NPI

Sara Grace Hartery, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Norwell, MA
National Provider Identifier
1063800993
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9143 Issued in MA
Practice address
99 Longwater Cir
Suite 101
Norwell, MA 02061-1642
Phone
(781) 792-2700
Fax
(781) 792-2707
NPI assigned
Dec 30, 2014
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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 9143 MA Primary

Addresses

Primary practice location

99 Longwater Cir
Suite 101
Norwell, MA 02061-1642

Mailing address

99 Longwater Cir Ste 100
Norwell, MA 02061-1643
Phone (781) 792-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151216000024 MA Practitioner - Qualified Speech Language Pathologist 6608177654 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Language Pathology Center Speech-Language Pathologist CurrentSince Aug 27, 2015 Accepting new patients

Locations

99 Longwater Cir
Ste 100
Norwell, MA 02061
Phone (781) 659-1800

99 Longwater Cir
Ste 101
Norwell, MA 02061
Phone (781) 326-8888

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, 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": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1063800993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LONGWATER CIR STE 100",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611643",
            "telephone_number": "781-792-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LONGWATER CIR",
            "address_2": "SUITE 101",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611642",
            "telephone_number": "781-792-2700",
            "fax_number": "781-792-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTERY",
        "first_name": "SARA",
        "middle_name": "GRACE",
        "name_prefix": "Miss",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "9143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.