Active NPI
Sarah Catherine Ward, MCD, CCC-SLP
- Speech-Language Pathologist
- Russellville, AR
National Provider Identifier
1417429804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 200935
- Practice address
- 301 N Sidney Ave
Russellville, AR 72801-4383 - Phone
- (479) 890-5494
- NPI assigned
- Dec 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 200935 | AR | Primary |
Addresses
Primary practice location
301 N Sidney Ave
Russellville, AR 72801-4383
Mailing address
2761 Oakland Rd
Clinton, AR 72031-8872
Phone (501) 253-2653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232966721 | Medicaid | AR |
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 |
|---|---|---|---|
| 200935 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1417429804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2761 OAKLAND RD",
"city": "CLINTON",
"state": "AR",
"postal_code": "720318872",
"telephone_number": "501-253-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N SIDNEY AVE",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728014383",
"telephone_number": "479-890-5494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "SARAH",
"middle_name": "CATHERINE",
"name_prefix": "Miss",
"credential": "MCD, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-22",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "200935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "232966721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.