Individual provider Active NPI

Sabrina Nicole Sparacino

  • Speech-Language Pathologist
  • Fitchburg, WI
National Provider Identifier
1265906358
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2927 S Fish Hatchery Rd
Fitchburg, WI 53711-6498
Phone
(608) 819-6394
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-64293 IL
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

2927 S Fish Hatchery Rd
Fitchburg, WI 53711-6498

Mailing address

6504 Pheasant LN Apt 207
Middleton, WI 53562-2856
Phone (815) 277-6159

Other practice location 1

21000 S Frankfort Square Rd
Frankfort, IL 60423-9385
Phone (815) 469-1500

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

LicenseStateTypeSpecialty
RBT-18-64293ILMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Innovations, LLC PastSince May 25, 2021 Accepting new patients

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1265906358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 PHEASANT LN APT 207",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622856",
            "telephone_number": "815-277-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 S FISH HATCHERY RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116498",
            "telephone_number": "608-819-6394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21000 S Frankfort Square Rd",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604239385",
            "country_code": "US",
            "telephone_number": "815-469-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARACINO",
        "first_name": "SABRINA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-18-64293",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.