Active NPI
Sara Marie King, SLP
- Speech-Language Pathologist
- Linn, MO
National Provider Identifier
1487086740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2004003508
- Practice address
- 1212 E Main St
Special Services
Linn, MO 65051-2504 - Phone
- (573) 897-4200
- Fax
- (573) 897-3768
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2004003508 | MO | Primary |
Addresses
Primary practice location
1212 E Main St
Special Services
Linn, MO 65051-2504
Mailing address
1212 E Main St
Special Services
Linn, MO 65051-2504
Phone (573) 897-4200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004003508 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osage Co R-II | Speech-Language Pathologist | 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": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1487086740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 E MAIN ST",
"address_2": "SPECIAL SERVICES",
"city": "LINN",
"state": "MO",
"postal_code": "650512504",
"telephone_number": "573-897-4200",
"fax_number": "573-897-3768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 E MAIN ST",
"address_2": "SPECIAL SERVICES",
"city": "LINN",
"state": "MO",
"postal_code": "650512504",
"telephone_number": "573-897-4200",
"fax_number": "573-897-3768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "SARA",
"middle_name": "MARIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2004003508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Linn, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.