Individual provider Active NPI

Rebecca L Sas, MS, CCC-SLP

  • Speech-Language Pathologist
  • Hurst, TX
National Provider Identifier
1073578639
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103580 Issued in TX
Practice address
1809 Precinct Line Rd
Hurst, TX 76054-3132
Phone
(817) 282-7250
Fax
(817) 282-7251
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 103580 TX Primary
Speech-Language Pathologist 235Z00000X 3041 OK

Addresses

Primary practice location

1809 Precinct Line Rd
Hurst, TX 76054-3132

Mailing address

1809 Precinct Line Rd
Hurst, TX 76054-3132
Phone (817) 282-7250

Other identifiers 2

IdentifierTypeStateIssuer
200028580AMedicaidOK
200028580BOtherOKDDSD

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

LicenseStateTypeSpecialty
103580TXMDClinical Social Worker
3041OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Monkey Mouths, PLLC Speech-Language Pathologist PastSince Jul 11, 2022 Accepting new patients

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1073578639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 PRECINCT LINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543132",
            "telephone_number": "817-282-7250",
            "fax_number": "817-282-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 PRECINCT LINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543132",
            "telephone_number": "817-282-7250",
            "fax_number": "817-282-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAS",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103580",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200028580A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDSD",
            "identifier": "200028580B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.