Individual provider Active NPI

Stephanie L Sada, M.S., CCC/SLP

  • Speech-Language Pathologist
  • Wheeling, WV
National Provider Identifier
1437331519
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1104 Issued in WV
Practice address
2203 National Rd
Ohio County Board of Education
Wheeling, WV 26003-5203
Phone
(304) 243-0300
Fax
(304) 243-0328
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-1104 WV Primary

Addresses

Primary practice location

2203 National Rd
Ohio County Board of Education
Wheeling, WV 26003-5203

Mailing address

2203 National Rd
Ohio County Board of Education
Wheeling, WV 26003-5203
Phone (304) 243-0300

Other identifiers 1

IdentifierTypeStateIssuer
3810004593MedicaidWV

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP-1104WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio County Board of Education Past Accepting new patients
Ohio County Board of Education 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.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1437331519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 NATIONAL RD",
            "address_2": "OHIO COUNTY BOARD OF EDUCATION",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035203",
            "telephone_number": "304-243-0300",
            "fax_number": "304-243-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 NATIONAL RD",
            "address_2": "OHIO COUNTY BOARD OF EDUCATION",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035203",
            "telephone_number": "304-243-0300",
            "fax_number": "304-243-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADA",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SP-1104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004593",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.