Individual provider Active NPI

Sarah A Ferguson

  • Speech-Language Pathologist
  • Birmingham, AL
National Provider Identifier
1245569094
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2850 Issued in AL
Practice address
1678 Montgomery Hwy Ste 104
PMB 180
Birmingham, AL 35216-4900
Phone
(205) 516-5132
Fax
(180) 022-1089
NPI assigned
Dec 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2850 AL Primary
Speech-Language Pathologist 235Z00000X S3744 MS
Speech-Language Pathologist 235Z00000X SLP008748 GA

Addresses

Primary practice location

1678 Montgomery Hwy Ste 104
PMB 180
Birmingham, AL 35216-4900

Mailing address

1678 Montgomery Hwy Ste 104
PMB 180
Birmingham, AL 35216-4900
Phone (205) 516-5132

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

State licenses

LicenseStateTypeSpecialty
2850ALMDAthletic Trainer
SLP008748GAMDSpeech-Language Pathologist
S3744MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope LLC Speech-Language Pathologist CurrentSince May 27, 2013 Accepting new patients

Locations

1502 Main St
Greensboro, AL 36744
Phone (205) 575-1609

2703 University Blvd E
Tuscaloosa, AL 35404
Phone (205) 248-7064

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1245569094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 MONTGOMERY HWY STE 104",
            "address_2": "PMB 180",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164900",
            "telephone_number": "205-516-5132",
            "fax_number": "180-022-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 MONTGOMERY HWY STE 104",
            "address_2": "PMB 180",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164900",
            "telephone_number": "205-516-5132",
            "fax_number": "180-022-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "SARAH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2850",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3744",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.