Active NPI
Sara M Ridener, SLP
- Speech-Language Pathologist
- Fremont, OH
National Provider Identifier
1255430872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6802
- Practice address
- 715 S Taft Ave
Fremont, OH 43420-3200 - Phone
- (419) 332-7321
- Fax
- (419) 334-6673
- NPI assigned
- Sep 21, 2006
- 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 | 6802 | OH | Primary |
Addresses
Primary practice location
715 S Taft Ave
Fremont, OH 43420-3200
Mailing address
165 E Water St
Oak Harbor, OH 43449-1450
Phone (419) 447-7203
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 |
|---|---|---|---|
| 6802 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255430872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 E WATER ST",
"city": "OAK HARBOR",
"state": "OH",
"postal_code": "434491450",
"telephone_number": "419-447-7203",
"fax_number": "419-447-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S TAFT AVE",
"city": "FREMONT",
"state": "OH",
"postal_code": "434203200",
"telephone_number": "419-332-7321",
"fax_number": "419-334-6673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDENER",
"first_name": "SARA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "6802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, OH
Sources for this page
- 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.