Sara Eliason
Individual provider Active NPI Speech-Language Pathologist · Raton, NM
NPI 1790141703 · NPPES record last updated Jan 6, 2016
Key facts
- NPI
- 1790141703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5892 (NM)
- Practice address
- 726 Apache Ave Apt 1
Raton, NM 87740-4059 - Phone
- (505) 334-3695
- NPI assigned
- Jan 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5892 | NM | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Steps LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Explorabilities Inc | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5892 | NM | Yes |
Addresses
Primary practice location
726 Apache Ave Apt 1
Raton, NM 87740-4059
Mailing address
726 Apache Ave Apt 1
Raton, NM 87740-4059
Phone (505) 334-3695
Other providers in Raton, NM
- Nolberto Dominguez
- Desiree Duncan
- Joshua P Duran
- Sharron Duran
- Ben A Durant
- Enchantment Assisted Living LLC
- Amanda Encinias
- Crystal Encinias
- Dashina Enjady
- Shantell Layce Esquivel
All providers in Raton, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.