Active NPI
Sarai Sophia Holbrook, CCC-SLP
- Speech-Language Pathologist
- Stevens Point, WI
National Provider Identifier
1700400736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8743797-4102
- Practice address
- Room 038 CPS, 1901 Fourth Ave.
Uw-Stevens Point
Stevens Point, WI 54481 - Phone
- (715) 346-2328
- NPI assigned
- Jun 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8743797-4102 | UT | Primary |
Addresses
Primary practice location
Room 038 CPS, 1901 Fourth Ave.
Uw-Stevens Point
Stevens Point, WI 54481
Mailing address
Room 038 CPS, 1901 Fourth Ave.
Uw-Stevens Point
Stevens Point, WI 54481
Other names 1
- Sarai Sophia Dodge
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8743797-4102 | UT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1700400736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ROOM 038 CPS, 1901 FOURTH AVE.",
"address_2": "UW-STEVENS POINT",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "54481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROOM 038 CPS, 1901 FOURTH AVE.",
"address_2": "UW-STEVENS POINT",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "54481",
"telephone_number": "715-346-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "SARAI",
"middle_name": "SOPHIA",
"name_prefix": "Dr.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-05",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "8743797-4102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAI",
"last_name": "DODGE",
"middle_name": "SOPHIA",
"credential": "CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.