Individual provider Active NPI

Dawn Sanderson, MA, CCC-SLP

  • Speech-Language Pathologist
  • Asheville, NC
National Provider Identifier
1649337080
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5530 Issued in NC
Practice address
856 Sweeten Creek Rd Ste F
Asheville, NC 28803-1548
Phone
(828) 684-7337
Fax
(828) 684-7339
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5530 NC Primary

Addresses

Primary practice location

856 Sweeten Creek Rd Ste F
Asheville, NC 28803-1548

Mailing address

46 Sunnybrook Dr
Asheville, NC 28805-9754
Phone (828) 505-1125

Other identifiers 3

IdentifierTypeStateIssuer
7412235MedicaidNC
130UXOtherBLUECROSS
C9974OtherMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516001923 NC Practitioner - Qualified Speech Language Pathologist 8921495144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

46 Sunnybrook Dr
Asheville, NC 28805-9754
Phone (828) 712-9822

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5530NCMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
My Speech Design, PA Speech-Language Pathologist CurrentSince Apr 1, 2022 Accepting new patients
Janet and Company Speech-Language Pathologist Past Accepting new patients

Locations

105A Charlotte Hwy
Asheville, NC 28803
Phone (704) 771-5610

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1649337080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SUNNYBROOK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288059754",
            "telephone_number": "828-505-1125",
            "fax_number": "828-285-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 SWEETEN CREEK RD STE F",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031548",
            "telephone_number": "828-684-7337",
            "fax_number": "828-684-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "DAWN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412235",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "130UX",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C9974",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.