Individual provider Active NPI

Sara Robertson, M.S., CCC-SLP, ATP

  • Speech-Language Pathologist
  • West Newfield, ME
National Provider Identifier
1275967630
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
34 Carrolls Pit Rd
West Newfield, ME 04095-3167
Phone
(617) 501-1777
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 Primary

Addresses

Primary practice location

34 Carrolls Pit Rd
West Newfield, ME 04095-3167

Mailing address

34 Carrolls Pit Rd
West Newfield, ME 04095-3167
Phone (617) 501-1777

Other names 1

  • Sara Natale Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Language Ladder Aac LLC Speech-Language Pathologist CurrentSince Sep 1, 2024 Accepting new patients
Northeast Hearing and Speech Center, Inc. Speech-Language Pathologist CurrentSince Jul 28, 2019 Accepting new patients

Locations

75 W Commercial St
Ste 205
Portland, ME 04101
Phone (207) 874-1065

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1275967630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CARROLLS PIT RD",
            "city": "WEST NEWFIELD",
            "state": "ME",
            "postal_code": "040953167",
            "telephone_number": "617-501-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CARROLLS PIT RD",
            "city": "WEST NEWFIELD",
            "state": "ME",
            "postal_code": "040953167",
            "telephone_number": "617-501-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "SARA",
        "credential": "M.S., CCC-SLP, ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "NATALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Newfield, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.