Active NPI
Sara Nelson
- Speech-Language Pathologist
- South Glens Falls, NY
National Provider Identifier
1619116225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 018841-1
- Practice address
- 7 John St
South Glens Falls, NY 12803-5240 - Phone
- (585) 519-3830
- NPI assigned
- Feb 5, 2009
- Last updated
- Feb 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 018841-1 | NY | Primary |
Addresses
Primary practice location
7 John St
South Glens Falls, NY 12803-5240
Mailing address
7 John St
South Glens Falls, NY 12803-5240
Phone (585) 519-3830
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
| License | State | Type | Specialty |
|---|---|---|---|
| 018841-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1619116225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 JOHN ST",
"city": "SOUTH GLENS FALLS",
"state": "NY",
"postal_code": "128035240",
"telephone_number": "585-519-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 JOHN ST",
"city": "SOUTH GLENS FALLS",
"state": "NY",
"postal_code": "128035240",
"telephone_number": "585-519-3830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-05",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "018841-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Glens Falls, NY
- Karen Elleian Long, R.N.
- Evelyn Jeanne McFarren, RN
- Nichole Mesa Tyree, LMHC
- Allison Leigh Messing Smitkin, DMD
- Kerrie Miksch, M.S.ED., CCC-SLP
- Shawna M Noble, LMHC
- Nurishu Nutrition & Dietetic Services
- Nicole Marie Pelech, PHARM.D.
- Rite Aid of New York Inc (Rite Aid Pharmacy 00648)
- Emily Russom, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.