Individual provider Active NPI

Sarah Revels

  • Speech-Language Pathologist
  • Hopewell, VA
National Provider Identifier
1518517267
Registry record updated Sep 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204000217 Issued in VA
Practice address
103 N 12TH Ave
Hopewell, VA 23860-2310
Phone
(804) 541-6400
NPI assigned
Sep 15, 2019
Last updated
Sep 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 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 2204000217 VA Primary

Addresses

Primary practice location

103 N 12TH Ave
Hopewell, VA 23860-2310

Mailing address

5004 Monument Ave Ste 104
Richmond, VA 23230-3629
Phone (804) 440-1489

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2204000217VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk Therapy Services, LLC Speech-Language Pathologist CurrentSince Mar 21, 2021 Accepting new patients
Hopewell Public Schools PastSince Sep 25, 2019 Accepting new patients

Locations

5004 Monument Ave
Ste 104
Richmond, VA 23230
Phone (804) 440-1489

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1518517267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 MONUMENT AVE STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303629",
            "telephone_number": "804-440-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 12TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602310",
            "telephone_number": "804-541-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELS",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-15",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.