Individual provider Active NPI

Kristin Taylor Sagar, MA, CCC-SLP

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1134463029
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8391 Issued in NC
Practice address
2621 Springwood Dr
Greensboro, NC 27403-2031
Phone
(336) 317-5605
Fax
(336) 454-1784
NPI assigned
Nov 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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 8391 NC Primary

Addresses

Primary practice location

2621 Springwood Dr
Greensboro, NC 27403-2031

Mailing address

2621 Springwood Dr
Greensboro, NC 27403-2031
Phone (336) 317-5605

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8391NCMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1134463029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 SPRINGWOOD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274032031",
            "telephone_number": "336-317-5605",
            "fax_number": "336-454-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 SPRINGWOOD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274032031",
            "telephone_number": "336-317-5605",
            "fax_number": "336-454-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGAR",
        "first_name": "KRISTIN",
        "middle_name": "TAYLOR",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.