Individual provider Active NPI

Sarah Sleeter, MS, CCC-SLP

  • Speech-Language Pathologist
  • Bloomington, IL
National Provider Identifier
1558049627
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.015282 Issued in IL
Practice address
1019 Laesch Ave Apt a
Bloomington, IL 61704-7222
Phone
(309) 287-1724
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 146.015282 IL Primary

Addresses

Primary practice location

1019 Laesch Ave Apt a
Bloomington, IL 61704-7222

Mailing address

1019 Laesch Ave Apt a
Bloomington, IL 61704-7222
Phone (309) 287-1724

Other practice location 1

508 Dry Grove St
Normal, IL 61790-7222
Phone (309) 438-8643

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002002620 IL Practitioner - Single Or Multispecialty Clinic Or Group Practice 4981058427 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146.015282ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois State University CurrentSince Aug 16, 2023 Accepting new patients

Locations

275 S University St
Normal, IL 61790

4720 Campus
Normal, IL 61790

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1558049627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 LAESCH AVE APT A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047222",
            "telephone_number": "309-287-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 LAESCH AVE APT A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047222",
            "telephone_number": "309-287-1724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Dry Grove St",
            "address_purpose": "LOCATION",
            "city": "Normal",
            "state": "IL",
            "postal_code": "617907222",
            "country_code": "US",
            "telephone_number": "309-438-8643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLEETER",
        "first_name": "SARAH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.015282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.