Individual provider Active NPI

Sara Marchetta, M.S.

  • Speech-Language Pathologist
  • Utica, NY
National Provider Identifier
1275101842
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
032557 Issued in NY
Practice address
130 Lomond CT
Utica, NY 13502-5957
Phone
(315) 724-4286
NPI assigned
Jun 11, 2021
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 032557 NY Primary

Addresses

Primary practice location

130 Lomond CT
Utica, NY 13502-5957

Mailing address

4126 State Route 12
New Hartford, NY 13413-5216
Phone (315) 601-5527

Other identifiers 1

IdentifierTypeStateIssuer
032557OtherNYNYS SPEECH PATHOLOGY LICENSE

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

LicenseStateTypeSpecialty
032557NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1275101842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 STATE ROUTE 12",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135216",
            "telephone_number": "315-601-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LOMOND CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025957",
            "telephone_number": "315-724-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHETTA",
        "first_name": "SARA",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "032557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS SPEECH PATHOLOGY LICENSE",
            "identifier": "032557",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.