Sara Greenfield, MED CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60593861 Issued in WA

Practice address

2701 Clare Ave
Bremerton, WA 98310-3313

Phone

(360) 377-3915

NPI assigned

Dec 16, 2015

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

Other names 1

• Miss Sara Jolly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1619332707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WASHINGTON AVE",
            "address_2": "UNIT 405",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371865",
            "telephone_number": "314-517-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CLARE AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103313",
            "telephone_number": "360-377-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "MED CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60593861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "JOLLY",
            "prefix": "MISS",
            "credential": "MED CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Graybill
• Green Roots Counseling
• Lyn Rivas Green, L.M.H.C.
• Garry Reid Greene, MD
• Bernard Greenfeld, M.D.
• Cynthia Leah Greenlee, AP60057913
• Gregory P Duff, MD Inc PS
• Scott Gregory
• Charity Gregson, RN
• Kerri Grennen

• Speech-Language Pathologist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.