Sara Claire Fennell, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

220079 Issued in AL

Practice address

335 Old Rail Rd
Bloomingdale, GA 31302-4025

Phone

(912) 421-0140

NPI assigned

Apr 24, 2023

Last updated

Apr 24, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sonshine Therapy

  • Speech-Language Pathologist
  • Savannah, GA
  • NPI 1538613443
  NPD (past)
• Wee Care Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Bloomingdale, GA
  • NPI 1942772975
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1780372276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 IVANHOE DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317928718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 OLD RAIL RD",
            "city": "BLOOMINGDALE",
            "state": "GA",
            "postal_code": "313024025",
            "telephone_number": "912-421-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "SARA",
        "middle_name": "CLAIRE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "220079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis V. Cooper Primary Health Care, Inc.
• Melissa Doss
• Lindsay Michelle Edwards, OT
• Jennifer A Enslow, LPC
• Madison Evans
• Austin Fulcher
• Sarabeth Doris Gaskin, M.ED., CF-SLP
• Gates Health Care Services, LLC
• Amelia Gaytan, OT
• Evelyn Gomez Dominguez

• Speech-Language Pathologist in Bloomingdale, GA
• Providers in Bloomingdale, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.