Individual provider Active NPI

Sara Jan Coffelt, M.A.-SLP

  • Speech-Language Pathologist
  • Visalia, CA
National Provider Identifier
1083051338
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
20267 Issued in CA
Practice address
1822 E Copper CT
Visalia, CA 93292-1740
Phone
(559) 433-7976
NPI assigned
May 28, 2013
Last updated
May 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2013

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 20267 CA Primary

Addresses

Primary practice location

1822 E Copper CT
Visalia, CA 93292-1740

Mailing address

1822 E Copper CT
Visalia, CA 93292-1740
Phone (559) 433-7976

Other identifiers 1

IdentifierTypeStateIssuer
20267OtherCASPEECH LANGUAGE PATHOLOGY LICENSE

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

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1083051338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 E COPPER CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932921740",
            "telephone_number": "559-433-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 E COPPER CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932921740",
            "telephone_number": "559-433-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFELT",
        "first_name": "SARA",
        "middle_name": "JAN",
        "credential": "M.A.-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "20267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGY LICENSE",
            "identifier": "20267",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.