Individual provider Active NPI

Sarah Anderson Larsen, MS CCC-SLP

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1639751829
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2023 Lake Ave
Knoxville, TN 37916-2903
Phone
(865) 974-6702
NPI assigned
Apr 27, 2021
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210702002224 TN Practitioner - Other (Non-Physician) 9335540921 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6853TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee CurrentSince May 1, 2021 Accepting new patients
University of Tennessee Speech-Language Pathologist CurrentSince May 1, 2021 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.

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

Verify at the official NPI Registry.