Active NPI
Sarah Anderson Larsen, MS CCC-SLP
- Speech-Language Pathologist
- Knoxville, TN
National Provider Identifier
1639751829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2023 Lake Ave
Knoxville, TN 37916-2903 - Phone
- (865) 974-6702
- NPI assigned
- Apr 27, 2021
- Last updated
- Apr 27, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | TN | Primary |
Addresses
Primary practice location
2023 Lake Ave
Knoxville, TN 37916-2903
Mailing address
11020 Christchurch Way Apt 108
Knoxville, TN 37932-3460
Phone (423) 557-7674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6853 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Tennessee | Current | Accepting new patients | |
| University of Tennessee | Speech-Language Pathologist | Current | Accepting new patients |
| University of Tennessee | Current | Accepting new patients |
Locations
600 Henley St
Ste 213
Knoxville, TN 37996
Phone (865) 974-5453
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Center on Developmental Disabilities
- Developmental Disabilities Clinic/Center
- Memphis, TN
- NPI 1427064880
-
dba Univ. of TN Health Science Center College of Nursing
- Family Nurse Practitioner
- Memphis, TN
- NPI 1174221337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1639751829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11020 CHRISTCHURCH WAY APT 108",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379323460",
"telephone_number": "423-557-7674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 LAKE AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162903",
"telephone_number": "865-974-6702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "SARAH",
"middle_name": "ANDERSON",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.