Active NPI
Sara Wanner, CCC-SLP
- Speech-Language Pathologist
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1953
- Practice address
- 1000 E Calgary Ave Ste 1
Bismarck, ND 58503-5648 - Phone
- (701) 355-6044
- NPI assigned
- Jun 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1953 | ND | Primary |
Addresses
Primary practice location
1000 E Calgary Ave Ste 1
Bismarck, ND 58503-5648
Mailing address
5143 Redcoat Loop
Bismarck, ND 58503-7865
Phone (701) 426-6565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2550 Windsor PL N
Mandan, ND 58554-8151
Phone (701) 320-2488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1953 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Partners, Inc. | Current | Accepting new patients | |
| Innovative Therapy Solutions & Consulting LLC | Current | Accepting new patients | |
| Pediatric Therapy Partners, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Empowered Kids Pediatric Therapy | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1929 N Washington St
Ste H
Bismarck, ND 58501
Phone (701) 220-0479
1000 E Calgary Ave
Ste 1
Bismarck, ND 58503
Phone (701) 214-7151
3060 Frontier Way S
Fargo, ND 58104
Phone (701) 356-4384
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Mandan, ND
- NPI 1730700824
-
- Occupational Therapist
- Thief River Falls, MN
- NPI 1457479958
ND, Speech-Language Pathologist
-
- Pediatric Occupational Therapist
- Bismarck, ND
- NPI 1164169462
Speech-Language Pathologist
-
- Early Intervention Provider Agency
- Fargo, ND
- NPI 1104426352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1104492032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5143 REDCOAT LOOP",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585037865",
"telephone_number": "701-426-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E CALGARY AVE STE 1",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585035648",
"telephone_number": "701-355-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANNER",
"first_name": "SARA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "1953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.