Active NPI
Timothy Parker Sanders, M.S., CCC-SLP
- Speech-Language Pathologist
- Gardendale, AL
National Provider Identifier
1770919748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3414
- Practice address
- 420 Dean Dr
Gardendale, AL 35071-2763 - Phone
- (205) 631-8709
- NPI assigned
- Sep 22, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 3414 | AL | Primary |
Addresses
Primary practice location
420 Dean Dr
Gardendale, AL 35071-2763
Mailing address
420 Dean Dr
Gardendale, AL 35071-2763
Phone (205) 631-8709
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3414 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379808000000",
"number": "1770919748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 DEAN DR",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350712763",
"telephone_number": "205-631-8709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DEAN DR",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350712763",
"telephone_number": "205-631-8709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "TIMOTHY",
"middle_name": "PARKER",
"name_prefix": "Mr.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-22",
"last_updated": "2013-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "3414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardendale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.