Individual provider Active NPI

Sarah Cocciardi, SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1508424094
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6741 Issued in NM
Practice address
2819 Richmond Dr NE
Albuquerque, NM 87107-1918
Phone
(505) 883-3787
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 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 6741 NM Primary

Addresses

Primary practice location

2819 Richmond Dr NE
Albuquerque, NM 87107-1918

Mailing address

4030 Anderson Ave SE
Albuquerque, NM 87108-4309
Phone (845) 283-4644

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Albuquerque Direct

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

LicenseStateTypeSpecialty
6741NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Dec 7, 2020 Accepting new patients
New Mexico Speech Therapy LLC Speech-Language Pathologist Current Accepting new patients
Legacy Healthcare Services Inc. Speech-Language Pathologist CurrentSince Dec 7, 2020 Accepting new patients
Heartward Speech-Language Pathology, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

Organizations & group practices 4

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1508424094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 ANDERSON AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084309",
            "telephone_number": "845-283-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 RICHMOND DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071918",
            "telephone_number": "505-883-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCIARDI",
        "first_name": "SARAH",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "6741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Albuquerque",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4030 Anderson Ave SE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871084309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.