Individual provider Active NPI

Sara Letellier, CG 60819011

  • Peer Specialist
  • Spokane, WA
National Provider Identifier
1609419282
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CG60819011 Issued in WA
Practice address
2308 W 3Rd Ave
Spokane, WA 99201-5810
Phone
(206) 931-8825
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CG60819011 WA Primary

Addresses

Primary practice location

2308 W 3Rd Ave
Spokane, WA 99201-5810

Mailing address

PO Box 4627
Spokane, WA 99220-0627
Phone (509) 624-1244

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
CG60819011WAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Care Centers, Inc. CurrentSince Oct 27, 2019 Accepting new patients
New Horizon Care Center, Inc. PastSince Oct 27, 2019 Accepting new patients

Locations

2308 W 3rd Ave
Spokane, WA 99201
Phone 5096241244 ext. 125

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": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1609419282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4627",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992200627",
            "telephone_number": "509-624-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 W 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992015810",
            "telephone_number": "206-931-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETELLIER",
        "first_name": "SARA",
        "credential": "CG 60819011",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG60819011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.