Individual provider Active NPI

Sarah Nicole Riecken, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1093928384
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-899 Issued in NV
Practice address
2832 E Flamingo Rd
Las Vegas, NV 89121-5205
Phone
(702) 799-0235
Fax
(702) 799-2835
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SP-899 NV Primary

Addresses

Primary practice location

2832 E Flamingo Rd
Las Vegas, NV 89121-5205

Mailing address

2403 Radio City St
Las Vegas, NV 89135-1114
Phone (702) 250-1806

Other names 1

  • Miss Sarah Nicole Hardee Former name

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
SP-899NVMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093928384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 RADIO CITY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351114",
            "telephone_number": "702-250-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215205",
            "telephone_number": "702-799-0235",
            "fax_number": "702-799-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIECKEN",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HARDEE",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "M.S.,CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.