Sabrina Lynne Wallace, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2695 Issued in KS

Practice address

5520 College Blvd
Suite 370
Overland Park, KS 66211-1630

Phone

(913) 696-8844

Fax

(913) 696-8855

NPI assigned

Apr 22, 2008

Last updated

Apr 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Key Rehabilitation,Inc.

  dba GeroPsych, a division of Key Rehabilitation, Inc.

  • Psychologist
  • Salem, MO
  • NPI 1821335613
  Medicare reassignment NPD
• Key Rehabilitation Inc

  • Rehabilitation Hospital Unit
  • Carthage, MO
  • NPI 1588781686

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1437323300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 COLLEGE BLVD",
            "address_2": "SUITE 370",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111630",
            "telephone_number": "913-696-8844",
            "fax_number": "913-696-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 COLLEGE BLVD",
            "address_2": "SUITE 370",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111630",
            "telephone_number": "913-696-8844",
            "fax_number": "913-696-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SABRINA",
        "middle_name": "LYNNE",
        "name_prefix": "Mr.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Cassaday Walla, CPM
• Wallace Chiropractic & Nutrition Clinic
• Delores Wallace, HIS
• Erica Wallace
• Mark Richard Wallace, DC
• Sarah Elizabeth Walldroff, OTR/L
• Kara B Walling
• Walmart Inc. (Walmart Pharmacy 10-1691)
• Walmart Inc. (Walmart Pharmacy 10-5207)
• Walmart Inc. (Walmart Pharmacy 10-1599)

• Speech-Language Pathologist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.