Individual provider Active NPI

Sara M Sumerlin

  • Speech-Language Assistant
  • Surprise, AZ
National Provider Identifier
1437438819
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA7139 Issued in AZ
Practice address
17999 W Surprise Farms Loop S
Surprise, AZ 85388-6641
Phone
(623) 876-7350
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA7139 AZ Primary

Addresses

Primary practice location

17999 W Surprise Farms Loop S
Surprise, AZ 85388-6641

Mailing address

6408 W Monte Cristo Ave
Glendale, AZ 85306-2231
Phone (970) 518-1769

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

LicenseStateTypeSpecialty
SLPA7139AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dysart Unified School District Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1437438819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 W MONTE CRISTO AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062231",
            "telephone_number": "970-518-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17999 W SURPRISE FARMS LOOP S",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853886641",
            "telephone_number": "623-876-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMERLIN",
        "first_name": "SARA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA7139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.