Individual provider Active NPI

Sarah Julia Carter, CCC-SLP

  • Speech-Language Pathologist
  • Holt, MO
National Provider Identifier
1104330158
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0003190 Issued in CO
Practice address
7171 SE Timberlake CT.
Holt, MO 64048-8614
Phone
(802) 371-9714
Fax
(970) 549-8008
NPI assigned
Nov 29, 2017
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2021015005 MO
Speech-Language Pathologist 235Z00000X SLP.0003190 CO Primary
Speech-Language Pathologist 235Z00000X 6372 NM

Addresses

Primary practice location

7171 SE Timberlake CT.
Holt, MO 64048-8614

Mailing address

7171 SE Timberlake CT.
Holt, MO 64048-8614
Phone (802) 371-9714

Other practice location 1

391 6403 Rd
Montrose, CO 81403-3377
Phone (802) 371-9714

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

State licenses

LicenseStateTypeSpecialty
SLP.0003190COMDSpeech-Language Pathologist
2021015005MOMDSpeech-Language Pathologist
6372NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Consolidated School District #22 Past 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, 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": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1104330158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 SE TIMBERLAKE CT.",
            "city": "HOLT",
            "state": "MO",
            "postal_code": "640488614",
            "telephone_number": "802-371-9714",
            "fax_number": "970-549-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 SE TIMBERLAKE CT.",
            "city": "HOLT",
            "state": "MO",
            "postal_code": "640488614",
            "telephone_number": "802-371-9714",
            "fax_number": "970-549-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 6403 Rd",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814033377",
            "country_code": "US",
            "telephone_number": "802-371-9714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "SARAH",
        "middle_name": "JULIA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2021015005",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0003190",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "6372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.