Individual provider Active NPI

Sara Stamer, MS, CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Williamson, NY
National Provider Identifier
1154935187
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
030927 Issued in NY
Practice address
4184 Miller St
Williamson, NY 14589-9713
Phone
(315) 589-9661
NPI assigned
Sep 8, 2020
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Speech-Language Pathologist 235Z00000X 030927 NY Primary

Addresses

Primary practice location

4184 Miller St
Williamson, NY 14589-9713

Mailing address

338 Eaglehead Rd
East Rochester, NY 14445-1608
Phone (716) 548-5375

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 Science

State licenses

LicenseStateTypeSpecialty
030927NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Daystar for Medically Fragile Children, Inc CurrentSince Jan 26, 2022 Accepting new patients
Daystar Formedically Fragile Children, Inc PastSince Jan 26, 2022 Accepting new patients
Williamson Central School District Past Accepting new patients

Locations

700 Lac de Ville Blvd
Rochester, NY 14618
Phone (585) 385-6287

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1154935187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 EAGLEHEAD RD",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "144451608",
            "telephone_number": "716-548-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4184 MILLER ST",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "145899713",
            "telephone_number": "315-589-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMER",
        "first_name": "SARA",
        "credential": "MS, CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.