Individual provider Active NPI

Sarah Elizabeth Fernandez, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Seattle, WA
National Provider Identifier
1477936573
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL 60672732 Issued in WA
Practice address
111 MLK Jr Way
Seattle, WA 98122-6107
Phone
(304) 638-4788
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 07229 MD
Speech-Language Pathologist 235Z00000X LL 60672732 WA Primary

Addresses

Primary practice location

111 MLK Jr Way
Seattle, WA 98122-6107

Mailing address

111 MLK Jr Way
Seattle, WA 98122-6107
Phone (206) 554-1079

Other practice location 1

15809 Bear Creek Pkwy Ste 100
Redmond, WA 98052-1542
Phone (304) 638-4788

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
07229MDMDOccupational Therapist
LL 60672732WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Feeding Therapy LLC Speech-Language Pathologist CurrentSince Mar 12, 2024 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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1477936573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MLK JR WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226107",
            "telephone_number": "206-554-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MLK JR WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226107",
            "telephone_number": "304-638-4788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15809 Bear Creek Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980521542",
            "country_code": "US",
            "telephone_number": "304-638-4788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2024-03-06",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07229",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 60672732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.