Individual provider Active NPI

Sierra Dullea Weir, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Berkeley, CA
National Provider Identifier
1144598970
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
24980 Issued in CA
Practice address
3220 Sacramento St
Berkeley, CA 94702-2726
Phone
(510) 766-0132
Fax
(415) 358-7457
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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 24980 CA Primary

Addresses

Primary practice location

3220 Sacramento St
Berkeley, CA 94702-2726

Mailing address

3135 Sacramento Street
3
Berkeley, CA 94702-1120
Phone (510) 610-4610

Other practice location 1

1485 Coventry Rd
Concord, CA 94518-1120
Phone (310) 941-5365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160205001377 CA Practitioner - Qualified Speech Language Pathologist 9234433582 Practice locations: Berkeley, CA

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3220 Sacramento St
Suite 100
Berkeley, CA 94702-2726
Phone (510) 766-0132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1144598970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 SACRAMENTO STREET",
            "address_2": "3",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021120",
            "telephone_number": "510-610-4610",
            "fax_number": "415-358-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 SACRAMENTO ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022726",
            "telephone_number": "510-766-0132",
            "fax_number": "415-358-7457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1485 Coventry Rd",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945181120",
            "country_code": "US",
            "telephone_number": "310-941-5365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIR",
        "first_name": "SIERRA",
        "middle_name": "DULLEA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "24980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.

Verify at the official NPI Registry.