Individual provider Active NPI

Sara Elizabeth Redmon, MS,CCC-SLP

  • Speech-Language Pathologist
  • Scottsboro, AL
National Provider Identifier
1497212310
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4126 Issued in AL
Practice address
305 W Peachtree St
Scottsboro, AL 35768-4360
Phone
(256) 609-6946
NPI assigned
Feb 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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 4126 AL Primary

Addresses

Primary practice location

305 W Peachtree St
Scottsboro, AL 35768-4360

Mailing address

712 Gunter Ave Apt a
Guntersville, AL 35976-1576
Phone (256) 509-4997

Other identifiers 2

IdentifierTypeStateIssuer
4126OtherALABESPA
14069617OtherALAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200723003883 AL Practitioner - Qualified Speech Language Pathologist 8426472374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enhanced Speech Therapy Services LLCGroup PAC ID 7517381460, 3 clinicians

Practice addresses (Care Compare)

2325 Henry St
Guntersville, AL 35976-1867
Phone (256) 486-9478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Speech Therapy Services, LLC Speech-Language Pathologist CurrentSince Jun 12, 2020 Accepting new patients

Locations

2325 Henry St
Guntersville, AL 35976
Phone (256) 486-9478

501 Blount Ave
#A
Guntersville, AL 35976
Phone (256) 486-9478

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": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1497212310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 GUNTER AVE APT A",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761576",
            "telephone_number": "256-509-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W PEACHTREE ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684360",
            "telephone_number": "256-609-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMON",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "4126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABESPA",
            "identifier": "4126",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA)",
            "identifier": "14069617",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.