Active NPI
Sandra K Sutton, MA CCC-SLP
- Speech-Language Pathologist
- New Bern, NC
National Provider Identifier
1194968552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9490
- Practice address
- 6303 Albatross Dr
New Bern, NC 28560-7143 - Phone
- (814) 450-0857
- NPI assigned
- Apr 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL002027L | PA | |
| Speech-Language Pathologist | 235Z00000X | 9490 | NC | Primary |
Addresses
Primary practice location
6303 Albatross Dr
New Bern, NC 28560-7143
Mailing address
6303 Albatross Dr
New Bern, NC 28560-7143
Phone (814) 450-0857
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9490 | NC | MD | General Practice Dentistry |
| SL002027L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1194968552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6303 ALBATROSS DR",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285607143",
"telephone_number": "814-450-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6303 ALBATROSS DR",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285607143",
"telephone_number": "814-450-0857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "SANDRA",
"middle_name": "K",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-15",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL002027L",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "9490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.