Sarah Julia Carter, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Holt, MO
NPI 1104330158 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1104330158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP.0003190 (CO)
- Practice address
- 7171 SE Timberlake CT.
Holt, MO 64048-8614 - Phone
- (802) 371-9714
- Fax
- (970) 549-8008
- NPI assigned
- Nov 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.0003190 | CO | MD | Speech-Language Pathologist |
| 2021015005 | MO | MD | Speech-Language Pathologist |
| 6372 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Consolidated School District #22 | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2021015005 | MO | |
| Speech-Language Pathologist | 235Z00000X | SLP.0003190 | CO | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000171954 | Medicaid | CO |
Other providers in Holt, MO
- Martha Joan Allen
- Aaron Barnes
- Betty Anne Bogart
- Laura Downing
- Holt Community Fire Protection District
- Ricki Moran
- Larry Moyer
- David L Murphy
All providers in Holt, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.