Sarah Domin, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14476033 Issued in TX

Practice address

15530 Lewis PL Apt 4731
Addison, TX 75001-6854

Phone

(480) 265-7923

NPI assigned

Aug 20, 2024

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357

  Speech-Language Pathologist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1669204392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15530 LEWIS PL APT 4731",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016854",
            "telephone_number": "480-265-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15530 LEWIS PL APT 4731",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016854",
            "telephone_number": "480-265-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMIN",
        "first_name": "SARAH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "14476033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eula Dillon
• Crisanto G Dimafelix, M.D.
• Discovery Practice Management, Inc
• Andrew DO, DC
• Dogwood Anesthesia Management, LLC
• Chester John Donnally III, M.D.
• Ashley Renee Dowell, M.S., CCC-SLP
• Dr Karen E Allen, OD, Inc
• Dr Tai Acupuncture
• David Dragoset

• Speech-Language Pathologist in Addison, TX
• Providers in Addison, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.