Individual provider Active NPI

Sarah Alexander

  • Speech-Language Pathologist
  • Saucier, MS
National Provider Identifier
1336556174
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S3957 Issued in MS
Practice address
22170 Yankee Town Rd
Saucier, MS 39574
Phone
(228) 861-3202
Fax
(228) 861-3202
NPI assigned
Jul 14, 2014
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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 S3957 MS Primary

Addresses

Primary practice location

22170 Yankee Town Rd
Saucier, MS 39574

Mailing address

22170 Yankee Town Rd
Saucier, MS 39574-8229

Other practice location 1

5535 S Williamson Blvd
Suite #774
Port Orange, FL 32128-8311
Phone (800) 330-7711 ext. 307

Other practice location 2

1620 Highway 11 N Ste C
Picayune, MS 39466-2070
Phone (769) 242-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181128001791 MS Practitioner - Qualified Speech Language Pathologist 9133463417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehab Agency Ms LLCGroup PAC ID 2769841782, 66 clinicians

Practice addresses (Care Compare)

Starkville, MS 39759
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S3957MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Speech-Language Therapy, LLC Speech-Language Pathologist CurrentSince Jul 28, 2019 Accepting new patients

Locations

15465 Oak Ln
Ste 100C
Gulfport, MS 39503
Phone (228) 346-0677

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1336556174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22170 YANKEE TOWN RD",
            "city": "SAUCIER",
            "state": "MS",
            "postal_code": "395748229",
            "fax_number": "228-861-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22170 YANKEE TOWN RD",
            "city": "SAUCIER",
            "state": "MS",
            "postal_code": "39574",
            "telephone_number": "228-861-3202",
            "fax_number": "228-861-3202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5535 S Williamson Blvd",
            "address_2": "Suite #774",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321288311",
            "country_code": "US",
            "telephone_number": "800-330-7711 x307",
            "fax_number": "386-944-7202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Highway 11 N Ste C",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394662070",
            "country_code": "US",
            "telephone_number": "769-242-2626",
            "fax_number": "769-242-2685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saucier, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.