Sara Anne Smith, MS CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Max, ND
NPI 1467940502 · NPPES record last updated Apr 24, 2018
Key facts
- NPI
- 1467940502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 2855 Highway 83 NW
Max, ND 58759-9458 - Phone
- (701) 679-2685
- NPI assigned
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | ND | Yes |
Addresses
Primary practice location
2855 Highway 83 NW
Max, ND 58759-9458
Mailing address
1370 20TH Ave SW
Minot, ND 58701-6452
Phone (701) 857-4410
Other practice location 1
101 2nd St W
Sawyer, ND 58781-4124
Phone (701) 624-5167
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.