Individual provider Active NPI

Sara Yagelski, CCC-SLP

  • Speech-Language Pathologist
  • Odessa, DE
National Provider Identifier
1679148910
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
O1-0012095 Issued in DE
Practice address
118 S 6TH St
Odessa, DE 19730-2060
Phone
(302) 376-4128
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 O1-0012095 DE Primary
Speech-Language Pathologist 235Z00000X 09856 MD

Addresses

Primary practice location

118 S 6TH St
Odessa, DE 19730-2060

Mailing address

514 Lake Seymour Dr
Middletown, DE 19709-4660
Phone (302) 824-4326

Other practice location 1

630 Churchmans Rd Ste 100A
Newark, DE 19702-1943
Phone (302) 544-5055

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

State licenses

LicenseStateTypeSpecialty
O1-0012095DEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Public Schools Speech-Language Pathologist PastSince May 1, 2021 Accepting new patients
Appoquinimink School District Speech-Language Pathologist PastSince Aug 28, 2022 Accepting new patients
Theraplay, LLC PastSince Jun 1, 2022 Accepting new patients

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1679148910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 LAKE SEYMOUR DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197094660",
            "telephone_number": "302-824-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S 6TH ST",
            "city": "ODESSA",
            "state": "DE",
            "postal_code": "197302060",
            "telephone_number": "302-376-4128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Churchmans Rd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197021943",
            "country_code": "US",
            "telephone_number": "302-544-5055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAGELSKI",
        "first_name": "SARA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "O1-0012095",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.