Active NPI
Sara Elizabeth Surratt, MS, CFY-SLP
- Speech-Language Pathologist
- Girard, IL
National Provider Identifier
1245672203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.002660
- Practice address
- 1010 W North St
Girard, IL 62640-1061 - Phone
- (217) 627-2181
- NPI assigned
- Jul 18, 2013
- Last updated
- Jul 18, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.002660 | IL | Primary |
Addresses
Primary practice location
1010 W North St
Girard, IL 62640-1061
Mailing address
216 Fairway Dr Apt 5
Chatham, IL 62629-5070
Phone (217) 206-5213
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.002660 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Podiatrists of Illinois LTD. | Past | Accepting new patients | |
| Brethren Home of Girard | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Northbrook, IL
- NPI 1104981422
-
dba Pleasant Hill Village
- Nursing Facility/Intermediate Care Facility
- Girard, IL
- NPI 1467679647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1245672203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 FAIRWAY DR APT 5",
"city": "CHATHAM",
"state": "IL",
"postal_code": "626295070",
"telephone_number": "217-206-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W NORTH ST",
"city": "GIRARD",
"state": "IL",
"postal_code": "626401061",
"telephone_number": "217-627-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURRATT",
"first_name": "SARA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MS, CFY-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.002660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Girard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.