Active NPI
Amy Suzanne Sauder, SLP
- Speech-Language Pathologist
- Lincolnton, NC
National Provider Identifier
1407958945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12525
- Practice address
- 518 N Generals Blvd
Lincolnton, NC 28092-3500 - Phone
- (704) 748-0616
- NPI assigned
- Sep 4, 2006
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL004662L | PA | |
| Speech-Language Pathologist | 235Z00000X | 12525 | NC | Primary |
Addresses
Primary practice location
518 N Generals Blvd
Lincolnton, NC 28092-3500
Mailing address
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
Other practice location 1
532 Squire Pl
Pittsburgh, PA 15237-4860
Phone (412) 364-2283
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12525 | NC | MD | Speech-Language Pathologist |
| SL004662L | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Multi-Specialty | Past | Accepting new patients |
| Compleat Rehab & Sports Therapy Center | 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.
-
- Home Health Agency
- Gastonia, NC
- NPI 1528544681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1407958945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280541478",
"telephone_number": "704-824-7800",
"fax_number": "704-824-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 N GENERALS BLVD",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280923500",
"telephone_number": "704-748-0616"
}
],
"practiceLocations": [
{
"address_1": "532 Squire Pl",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152374860",
"country_code": "US",
"telephone_number": "412-364-2283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAUDER",
"first_name": "AMY",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL004662L",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "12525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincolnton, NC
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.