Active NPI
Sara Beth Forester
- Speech-Language Pathologist
- Warsaw, MO
National Provider Identifier
1770744237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0295390
- Practice address
- 134 W Kosciusko St
Warsaw, MO 65355 - Phone
- (660) 438-6260
- Fax
- (660) 438-3817
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 0295390 | MO | Primary |
Addresses
Primary practice location
134 W Kosciusko St
Warsaw, MO 65355
Mailing address
PO Box 307
Warsaw, MO 65355-0307
Phone (660) 438-6260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469893101 | Medicaid | MO |
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 |
|---|---|---|---|
| 0295390 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1770744237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"city": "WARSAW",
"state": "MO",
"postal_code": "653550307",
"telephone_number": "660-438-6260",
"fax_number": "660-438-3817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W KOSCIUSKO ST",
"city": "WARSAW",
"state": "MO",
"postal_code": "65355",
"telephone_number": "660-438-6260",
"fax_number": "660-438-3817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORESTER",
"first_name": "SARA",
"middle_name": "BETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "0295390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "469893101",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.