Active NPI
Sarah Julia Carter, CCC-SLP
- Speech-Language Pathologist
- Holt, MO
National Provider Identifier
1104330158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.0003190
- 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, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| 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 |
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.
-
- Local Education Agency (LEA)
- Shiprock, NM
- NPI 1487798567
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.