Sarah Lively, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA14057 Issued in FL

Practice address

111 Nature Walk Pkwy Unit 108
St Augustine, FL 32092-3065

Phone

(904) 729-6759

NPI assigned

Mar 8, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sarah@livelyslp.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lively Speech and Language Therapy, LLC

  • Speech-Language Pathologist
  • St Augustine, FL
  • NPI 1912614488
  Medicare reassignment NPD Authorized official
• Honey Pediatric Behavioral Health LLC

  • Behavior Analyst
  • St Augustine, FL
  • NPI 1932980521
  NPD Authorized official

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1740721885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NATURE WALK PKWY UNIT 108",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923065",
            "telephone_number": "904-729-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NATURE WALK PKWY UNIT 108",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923065",
            "telephone_number": "904-729-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "SARAH",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sarah@livelyslp.com",
            "affiliation": "N",
            "endpointDescription": "Sarah@livelyslp.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Google Workspace",
            "address_1": "111 Nature Walk Pkwy Unit 108",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320923065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachael Littke, LMT
• Little Chatterbox, LLC
• Little Love Pediatric Dentistry and Wellness
• Larry Robert Little, APRN
• Lively Speech and Language Therapy, LLC
• Living in the Grey Counseling and Wellness PLLC
• Living Stone Outreach Services
• Christine Marie Livingston, PHD LMHC
• Summer Lloyd-Turner
• Llpi Healthcare Advocates

• Speech-Language Pathologist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.