Sara Deeanne Nielsen, M.A., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003323 Issued in WA

Practice address

707 W 5TH Ave
Spokane, WA 99204-2739

Phone

(509) 838-6060

Fax

(509) 838-6464

NPI assigned

Sep 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• This Little Light SLP, LLC

  • Hearing and Speech Clinic/Center
  • Spokane Valley, WA
  • NPI 1124740550
  Medicare reassignment NPD Authorized official
• NKS Rehab PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1700062890
  NPD (past)

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221868800000",
    "number": "1306096839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W 5TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042739",
            "telephone_number": "509-838-6060",
            "fax_number": "509-838-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 5TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042739",
            "telephone_number": "509-838-6060",
            "fax_number": "509-838-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "SARA",
        "middle_name": "DEEANNE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-20",
        "last_updated": "2008-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K. Blake Nielsen, D.C.
• Karn Luella Nielsen, CDPT
• Kimberley J Nielsen, D.C.
• Kristina Nielsen, DC
• Michelle Claire Nielsen, MS, BCBA, LBA
• Truman C Nielsen, DMD
• Benjamin Grant Nielson, OD
• Beryl Nieman
• Joy A Nieman, RN
• Karli Melaine Nieman, RN

• Speech-Language Pathologist in Spokane, WA
• Providers in Spokane, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.