Active NPI
Sarah Christine Gude
- Speech-Language Pathologist
- Portsmouth, VA
National Provider Identifier
1235953431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202011697
- Practice address
- 900 London Blvd
Portsmouth, VA 23704-2236 - Phone
- (757) 393-6864
- NPI assigned
- Nov 13, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11062 | MD | |
| Speech-Language Pathologist | 235Z00000X | 30003223 | NC | |
| Speech-Language Pathologist | 235Z00000X | 2202011697 | VA | Primary |
Addresses
Primary practice location
900 London Blvd
Portsmouth, VA 23704-2236
Mailing address
1210 Brook Meadow Dr
Towson, MD 21286-1751
Phone (410) 952-5188
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11062 | MD | MD | Speech-Language Pathologist |
| 30003223 | NC | MD | Speech-Language Pathologist |
| 2202011697 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1235953431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 BROOK MEADOW DR",
"city": "TOWSON",
"state": "MD",
"postal_code": "212861751",
"telephone_number": "410-952-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 LONDON BLVD",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237042236",
"telephone_number": "757-393-6864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUDE",
"first_name": "SARAH",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "11062",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30003223",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202011697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.