Individual provider Active NPI

Sarah Beatty

  • Speech-Language Pathologist
  • Birmingham, AL
National Provider Identifier
1104417500
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3813 Issued in AL
Practice address
112 Oxmoor Glen Cir
Birmingham, AL 35211-6448
Phone
(205) 913-1356
NPI assigned
Jan 28, 2021
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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 3813 AL Primary

Addresses

Primary practice location

112 Oxmoor Glen Cir
Birmingham, AL 35211-6448

Mailing address

112 Oxmoor Glen Cir
Birmingham, AL 35211-6448
Phone (205) 913-1356

Other identifiers 2

IdentifierTypeStateIssuer
14101164OtherAMERICAN SPEECH LANGUAGE AND HEARING ASSOCIATION
3813OtherALALABAMA BOARD OF EXAMINERS IN SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY

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": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1104417500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 OXMOOR GLEN CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352116448",
            "telephone_number": "205-913-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 OXMOOR GLEN CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352116448",
            "telephone_number": "205-913-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE AND HEARING ASSOCIATION",
            "identifier": "14101164",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF EXAMINERS IN SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY",
            "identifier": "3813",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

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