Individual provider Active NPI

Sara Vest Dunnam, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Midland, TX
National Provider Identifier
1821341546
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
106215 Issued in TX
Practice address
1608 W Texas Ave
Midland, TX 79701-6559
Phone
(432) 279-1133
Fax
(432) 704-2030
NPI assigned
Oct 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 106215 TX Primary
Speech-Language Pathologist 235Z00000X 5164 NM

Addresses

Primary practice location

1608 W Texas Ave
Midland, TX 79701-6559

Mailing address

1608 W Texas Ave
Midland, TX 79701-6559
Phone (432) 279-1133

Other names 1

  • Miss Sara Anne Vest Former name

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

LicenseStateTypeSpecialty
106215TXMDClinical Social Worker
5164NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Speech Center LLC Speech-Language Pathologist Past Accepting new patients

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": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1821341546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 W TEXAS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016559",
            "telephone_number": "432-279-1133",
            "fax_number": "432-704-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 W TEXAS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016559",
            "telephone_number": "432-279-1133",
            "fax_number": "432-704-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNAM",
        "first_name": "SARA",
        "middle_name": "VEST",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106215",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "5164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "VEST",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "B.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.