Active NPI
Sarah Jade Schmiedeknecht, MS, CCC-SLP
- Speech-Language Pathologist
- Milwaukie, OR
National Provider Identifier
1619268166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13470
- Practice address
- 4560 SE International Way Ste 100
Milwaukie, OR 97222-4628 - Phone
- (971) 206-7575
- NPI assigned
- May 2, 2011
- 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 | 13470 | OR | Primary |
Addresses
Primary practice location
4560 SE International Way Ste 100
Milwaukie, OR 97222-4628
Mailing address
5725 SE Lambert St
Portland, OR 97206-8113
Phone (865) 705-5233
Other practice location 1
10300 NE Hancock St
Portland, OR 97220-3831
Phone (503) 257-5500
Other practice location 2
725 SE 202nd Ave
Portland, OR 97233-6105
Phone (503) 665-3118
Other practice location 3
3457 NE Division St
Gresham, OR 97030-4602
Phone (865) 705-5233
Other practice location 4
10123 SE Market St
Portland, OR 97216-2532
Phone (503) 257-2500
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13470 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1619268166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5725 SE LAMBERT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972068113",
"telephone_number": "865-705-5233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY STE 100",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972224628",
"telephone_number": "971-206-7575"
}
],
"practiceLocations": [
{
"address_1": "10300 NE Hancock St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972203831",
"country_code": "US",
"telephone_number": "503-257-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 SE 202nd Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972336105",
"country_code": "US",
"telephone_number": "503-665-3118",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3457 NE Division St",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970304602",
"country_code": "US",
"telephone_number": "865-705-5233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10123 SE Market St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972162532",
"country_code": "US",
"telephone_number": "503-257-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHMIEDEKNECHT",
"first_name": "SARAH",
"middle_name": "JADE",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "13470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.