Sarah Connolly Smits

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1739154 Issued in WI

Practice address

410 S 3Rd St
B30 Wyman Education BLDG Speech & HRG Clinic
River Falls, WI 54022

Phone

(715) 425-3801

Fax

(715) 425-3800

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Sarah Louise Connolly Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235286774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S 3RD ST",
            "address_2": "B30 WYMAN EDUCATION BLDG SPEECH & HRG CLINIC",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "54022",
            "telephone_number": "715-425-3801",
            "fax_number": "715-425-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S 3RD ST",
            "address_2": "B30 WYMAN EDUCATION BLDG SPEECH & HRG CLINIC",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "54022",
            "telephone_number": "715-425-3801",
            "fax_number": "715-425-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITS",
        "first_name": "SARAH",
        "middle_name": "CONNOLLY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1739154",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7046",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "286K95M",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CONNOLLY",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "MST CCCSLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robbye Althea Sitz, LPN
• Rachel Claire Sixberry, FNP-C
• Sleep Well Wisconsin LLC
• Christina Small, LICSW
• Justin Michael Smith, DNP, CNS, CNP
• Kaitlin Sonday, LAT
• Alyssa Spado, SAC-IT
• Speech Remedies LLC
• Brian Sprague, LPCC, LADC, ICS, LPC
• St. Croix Orthopaedics, P.a.

• Speech-Language Pathologist in River Falls, WI
• Providers in River Falls, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.