Individual provider Active NPI

Sara Hamoudah

  • Speech-Language Pathologist
  • Frankfort, IL
National Provider Identifier
1558970285
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.017304 Issued in IL
Practice address
21000 S Frankfort Square Rd Ste D
Frankfort, IL 60423-9386
Phone
(815) 220-5658
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 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 146.017304 IL Primary

Addresses

Primary practice location

21000 S Frankfort Square Rd Ste D
Frankfort, IL 60423-9386

Mailing address

19162 88TH Ave
Mokena, IL 60448-8135
Phone (815) 464-6069

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
146.017304ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Childrens Therapy Speech-Language Pathologist Past Accepting new patients
Hand in Hand Comprehensive Therapy Specialists Inc Speech-Language Pathologist PastSince May 29, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1558970285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19162 88TH AVE",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488135",
            "telephone_number": "815-464-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 S FRANKFORT SQUARE RD STE D",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239386",
            "telephone_number": "815-220-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMOUDAH",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.017304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.