Individual provider Active NPI

Sara 'Sally' J Jones-McNamara, MCS, CCC-SLP, CCE

  • Speech-Language Pathologist
  • Dayton, OH
National Provider Identifier
1730314931
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
912 Issued in VA
Practice address
4289 Coventry CT
Dayton, OH 45440-3276
Phone
(703) 795-6692
Fax
(937) 912-9056
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2009

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 912 VA Primary

Addresses

Primary practice location

4289 Coventry CT
Dayton, OH 45440-3276

Mailing address

4289 Coventry CT
Dayton, OH 45440-3276
Phone (703) 795-6692

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
912VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1730314931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4289 COVENTRY CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403276",
            "telephone_number": "703-795-6692",
            "fax_number": "937-912-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4289 COVENTRY CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403276",
            "telephone_number": "703-795-6692",
            "fax_number": "937-912-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-MCNAMARA",
        "first_name": "SARA 'SALLY'",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MCS, CCC-SLP, CCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.