Sarah Tidmore, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

24473 Issued in TX

Practice address

3607 Manchaca Rd
Austin, TX 78704-5947

Phone

(512) 444-7219

Fax

(512) 444-6005

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Christina Ibarra Dba Total Communication

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1538246525
  NPD (past)
• Rebecca Pokluda, P.C.

  • Pediatric Occupational Therapist
  • Austin, TX
  • NPI 1194807081

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1609953694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600B BRIDGEWAY CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044944",
            "telephone_number": "512-444-7219",
            "fax_number": "512-444-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 MANCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045947",
            "telephone_number": "512-444-7219",
            "fax_number": "512-444-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDMORE",
        "first_name": "SARAH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "24473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Tibiletti
• Eric Stuart Tiblier, M.D.
• Kathleen Tice, RN
• Melissa Tico, M.A., BCBA
• Lauren Marie Tidmore, OTR
• Kristy Michelle Tiernan, RN, IBCLC
• Michaela Rose Tierney, OTR/L
• Ryan Menzies Tierney, M.D.
• Tierra Somos PLLC
• Peggy Kruger Tietz, PH.D.

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.