Individual provider Active NPI

Rebecca I. Sawyer, M.C.D., C.C.C., SLP

  • Speech-Language Pathologist
  • Ridgeland, MS
National Provider Identifier
1770580219
Registry record updated Feb 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S0126 Issued in MS
Practice address
207 W Jackson St Ste 2
Ridgeland, MS 39157-2355
Phone
(601) 212-0870
Fax
(601) 362-0870
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 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 S0126 MS Primary

Addresses

Primary practice location

207 W Jackson St Ste 2
Ridgeland, MS 39157-2355

Mailing address

623 Wendover Dr
Ridgeland, MS 39157-2853
Phone (601) 212-0870

Other identifiers 2

IdentifierTypeStateIssuer
09013963MedicaidMS
00014339MedicaidMS

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
S0126MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laskin Therapy Group, P.a. Speech-Language Pathologist CurrentSince Jun 21, 2022 Accepting new patients

Locations

4500 I 55 N
Ste 291
Jackson, MS 39211
Phone (601) 362-0859

207 W Jackson St
Ste 2
Ridgeland, MS 39157
Phone (601) 212-0870

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675468800000",
    "number": "1770580219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 WENDOVER DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572853",
            "telephone_number": "601-212-0870",
            "fax_number": "601-362-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W JACKSON ST STE 2",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572355",
            "telephone_number": "601-212-0870",
            "fax_number": "601-362-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "REBECCA",
        "middle_name": "I.",
        "name_prefix": "Mrs.",
        "credential": "M.C.D., C.C.C., SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-02-04",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S0126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013963",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00014339",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2023; 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.