Individual provider Active NPI

Sarah C Prem, M.A., CCC SLP

  • Speech-Language Pathologist
  • Arden Hills, MN
National Provider Identifier
1689898058
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6456 Issued in MN
Practice address
6 Pine Tree Dr Ste 330
Arden Hills, MN 55112-3789
Phone
(651) 639-0942
Fax
(651) 639-1718
NPI assigned
Apr 13, 2007
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 6456 MN Primary

Addresses

Primary practice location

6 Pine Tree Dr Ste 330
Arden Hills, MN 55112-3789

Mailing address

4004 E 45TH St
Minneapolis, MN 55406-4008
Phone (612) 721-2978

Other names 1

  • Sarah C Hanson Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151222002916 MN Practitioner - Qualified Speech Language Pathologist 1850692559 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Speech and Language Specialists LLC Speech-Language Pathologist CurrentSince Nov 30, 2015 Accepting new patients
Associated Speech and Language Past Accepting new patients

Locations

3021 Harbor Ln N
Ste 120
Plymouth, MN 55447
Phone (651) 773-0354

1260 County Road E W
Saint Paul, MN 55112
Phone (651) 639-0942

2395 Ariel St N
#B
Saint Paul, MN 55109
Phone (651) 773-3208

561 7th St W
Saint Paul, MN 55102
Phone (651) 225-4558

6 Pine Tree Dr
Ste 330
Saint Paul, MN 55112
Phone (651) 639-0942

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, 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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1689898058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 E 45TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554064008",
            "telephone_number": "612-721-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PINE TREE DR STE 330",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551123789",
            "telephone_number": "651-639-0942",
            "fax_number": "651-639-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREM",
        "first_name": "SARAH",
        "middle_name": "C",
        "credential": "M.A., CCC    SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "6456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HANSON",
            "middle_name": "C",
            "credential": "M.A., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arden Hills, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.