Individual provider Active NPI

Sara Winders, M.S., CCC-SLP

  • Speech-Language Pathologist
  • East Moline, IL
National Provider Identifier
1457870917
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146012750 Issued in IL
Practice address
3451 Morton Drive
East Moline School District #37
East Moline, IL 61244
Phone
(309) 755-7621
NPI assigned
Sep 15, 2017
Last updated
Sep 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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 146012750 IL Primary

Addresses

Primary practice location

3451 Morton Drive
East Moline School District #37
East Moline, IL 61244

Mailing address

3451 Morton Drive
East Moline School District
East Moline, IL 61244
Phone (309) 755-7621

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
146012750ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1457870917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 MORTON DRIVE",
            "address_2": "EAST MOLINE SCHOOL DISTRICT",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "61244",
            "telephone_number": "309-755-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 MORTON DRIVE",
            "address_2": "EAST MOLINE SCHOOL DISTRICT #37",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "61244",
            "telephone_number": "309-755-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDERS",
        "first_name": "SARA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146012750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.