Individual provider Active NPI

Sarita N Riley Sanford, M.A., M.S., CCC-SLP

  • Speech-Language Pathologist
  • Little Rock, AR
National Provider Identifier
1649607193
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#3516 Issued in AR
Practice address
8109 I 30
Little Rock, AR 72209-4840
Phone
(501) 562-5400
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 SP#3516 AR Primary

Addresses

Primary practice location

8109 I 30
Little Rock, AR 72209-4840

Mailing address

2104 Seminole TRL
North Little Rock, AR 72116-5732
Phone (501) 831-3737

Other practice location 1

4107 Richards Rd
North Little Rock, AR 72117-2653
Phone (501) 955-2220

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 Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
SP#3516ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent Acquisitions Corp-PSC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649607193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 SEMINOLE TRL",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721165732",
            "telephone_number": "501-831-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 I 30",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094840",
            "telephone_number": "501-562-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4107 Richards Rd",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721172653",
            "country_code": "US",
            "telephone_number": "501-955-2220",
            "fax_number": "501-955-5531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY SANFORD",
        "first_name": "SARITA",
        "middle_name": "N",
        "credential": "M.A., M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#3516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.