Individual provider Active NPI

Sarah Myers, SLP

  • Speech-Language Pathologist
  • Edwards, IL
National Provider Identifier
1346504586
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146011308 Issued in IL
Practice address
5601 Brookmere St
Edwards, IL 61528-9408
Phone
(309) 368-5272
Fax
(309) 966-3621
NPI assigned
Jul 3, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X IL
Speech-Language Pathologist 235Z00000X 146011308 IL Primary

Addresses

Primary practice location

5601 Brookmere St
Edwards, IL 61528-9408

Mailing address

5601 Brookmere St
Edwards, IL 61528-9408
Phone (309) 368-5272

Other practice location 1

411 E Washington St
East Peoria, IL 61611-2663
Phone (309) 282-6704

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
146011308ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Way to Grow Pediatric Therapy Inc Speech-Language Pathologist Past Accepting new patients
Play & Thrive Speech Therapy LLC Speech-Language Pathologist Past Accepting new patients

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, 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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346504586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 BROOKMERE ST",
            "city": "EDWARDS",
            "state": "IL",
            "postal_code": "615289408",
            "telephone_number": "309-368-5272",
            "fax_number": "309-966-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BROOKMERE ST",
            "city": "EDWARDS",
            "state": "IL",
            "postal_code": "615289408",
            "telephone_number": "309-368-5272",
            "fax_number": "309-966-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 E Washington St",
            "address_purpose": "LOCATION",
            "city": "East Peoria",
            "state": "IL",
            "postal_code": "616112663",
            "country_code": "US",
            "telephone_number": "309-282-6704",
            "fax_number": "309-387-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SARAH",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.