Individual provider Active NPI

Johna Renee Sarles

  • Speech-Language Pathologist
  • Hampstead, NC
National Provider Identifier
1730752502
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14935 Issued in NC
Practice address
44 Shuckin St Unit 202
Hampstead, NC 28443-8731
Phone
(910) 300-6150
NPI assigned
Jul 20, 2021
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 14935 NC Primary

Addresses

Primary practice location

44 Shuckin St Unit 202
Hampstead, NC 28443-8731

Mailing address

195 Camelot Way
Hampstead, NC 28443-2318

Other practice location 1

5710 Oleander Dr Ste 209
Wilmington, NC 28403-4722
Phone (910) 300-6150

Other practice location 2

101 E Satchwell St
Burgaw, NC 28425-5064
Phone (910) 300-6150

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
14935NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lolly Therapeutics, LLC Speech-Language Pathologist PastSince Jan 2, 2022 Accepting new patients
Integrative Therapy Concepts PastSince Jan 2, 2022 Accepting new patients
Pender Pediatric Therapy, PC Speech-Language Pathologist PastSince Oct 29, 2023 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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1730752502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 CAMELOT WAY",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284432318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SHUCKIN ST UNIT 202",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438731",
            "telephone_number": "910-300-6150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5710 Oleander Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034722",
            "country_code": "US",
            "telephone_number": "910-300-6150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Satchwell St",
            "address_purpose": "LOCATION",
            "city": "Burgaw",
            "state": "NC",
            "postal_code": "284255064",
            "country_code": "US",
            "telephone_number": "910-300-6150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARLES",
        "first_name": "JOHNA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.