Individual provider Active NPI

Sara Morgan Tellez, SPA

  • Speech-Language Assistant
  • Austin, TX
National Provider Identifier
1346773967
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
4297 Issued in CA
Practice address
2500 W William Cannon Dr Ste 704
Austin, TX 78745-5257
Phone
(512) 887-2126
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 41072 TX
Speech-Language Assistant 2355S0801X 4297 CA Primary

Addresses

Primary practice location

2500 W William Cannon Dr Ste 704
Austin, TX 78745-5257

Mailing address

2500 W William Cannon Dr # 704
Austin, TX 78745-5257
Phone (512) 887-2126

Other identifiers 3

IdentifierTypeStateIssuer
14357642OtherAMERICAN SPEECH AND HEARING ASSOCIATION
41072OtherTXTEXAS DEPARTMENT OF LICENCING AND REGULATION
SPA4297OtherCASLPAHADB

Other names 1

  • Sara Morgan Davis-Murray 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

State licenses

LicenseStateTypeSpecialty
41072TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1346773967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR # 704",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455257",
            "telephone_number": "512-887-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR STE 704",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455257",
            "telephone_number": "512-887-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEZ",
        "first_name": "SARA",
        "middle_name": "MORGAN",
        "name_prefix": "Mrs.",
        "credential": "SPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2021-09-17",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "41072",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "4297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH AND HEARING ASSOCIATION",
            "identifier": "14357642",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENCING AND REGULATION",
            "identifier": "41072",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLPAHADB",
            "identifier": "SPA4297",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "DAVIS-MURRAY",
            "middle_name": "MORGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.