Individual provider Active NPI

Sara Beth Shoff, CCC-SLP

  • Speech-Language Pathologist
  • Sparks Glencoe, MD
National Provider Identifier
1538358171
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
05041 Issued in MD
Practice address
1 Sparks Station Rd
Sparks Glencoe, MD 21152-9334
Phone
(443) 834-2660
Fax
(443) 923-1895
NPI assigned
Oct 19, 2007
Last updated
Jan 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2024

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 05041 MD Primary

Addresses

Primary practice location

1 Sparks Station Rd
Sparks Glencoe, MD 21152-9334

Mailing address

1 Sparks Station Rd
Sparks Glencoe, MD 21152-9334
Phone (443) 834-2660

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
05041MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Speech Therapy, LLC Speech-Language Pathologist CurrentSince Apr 28, 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, 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": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1538358171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SPARKS STATION RD",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529334",
            "telephone_number": "443-834-2660",
            "fax_number": "443-923-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPARKS STATION RD",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529334",
            "telephone_number": "443-834-2660",
            "fax_number": "443-923-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOFF",
        "first_name": "SARA",
        "middle_name": "BETH",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks Glencoe, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.