Sara Pinder, MS CCC-SLP CBIS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP8719 Issued in AZ

Practice address

39506 N Daisy Mountain Dr Ste 122240
Anthem, AZ 85086-6071

Phone

(760) 861-0209

NPI assigned

Dec 17, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1417428368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39506 N DAISY MOUNTAIN DR STE 122240",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39506 N DAISY MOUNTAIN DR STE 122240",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866071",
            "telephone_number": "760-861-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINDER",
        "first_name": "SARA",
        "credential": "MS CCC-SLP CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP8719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.