Individual provider Active NPI

Richard Alfred Sauter, LIC SPEECH PATH

  • Speech-Language Pathologist
  • Vancouver, WA
National Provider Identifier
1205154432
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00001111 Issued in WA
Practice address
3506 Main St
Vancouver, WA 98663-2224
Phone
(360) 837-8109
Fax
(360) 696-9517
NPI assigned
May 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2010

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 LL00001111 WA Primary

Addresses

Primary practice location

3506 Main St
Vancouver, WA 98663-2224

Mailing address

16241 Washougal River Rd
Washougal, WA 98671-7119
Phone (360) 837-8109

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1205154432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16241 WASHOUGAL RIVER RD",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986717119",
            "telephone_number": "360-837-8109",
            "fax_number": "360-696-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632224",
            "telephone_number": "360-837-8109",
            "fax_number": "360-696-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUTER",
        "first_name": "RICHARD",
        "middle_name": "ALFRED",
        "name_prefix": "Mr.",
        "credential": "LIC SPEECH PATH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.