Individual provider Active NPI

Shari Ann Sauter, CCC-L/SLP

  • Speech-Language Pathologist
  • Middleburgh, NY
National Provider Identifier
1821365164
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004722-1 Issued in NY
Practice address
245 Main Street
Middleburgh, NY 12122
Phone
(518) 827-3600
NPI assigned
Nov 30, 2011
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 004722-1 NY Primary

Addresses

Primary practice location

245 Main Street
Middleburgh, NY 12122

Mailing address

245 Main Street
Middleburgh, NY 12122
Phone (518) 827-3600

Other names 1

  • Shari Ann Shepard 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

State licenses

LicenseStateTypeSpecialty
004722-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1821365164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MAIN STREET",
            "city": "MIDDLEBURGH",
            "state": "NY",
            "postal_code": "12122",
            "telephone_number": "518-827-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MAIN STREET",
            "city": "MIDDLEBURGH",
            "state": "NY",
            "postal_code": "12122",
            "telephone_number": "518-827-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUTER",
        "first_name": "SHARI",
        "middle_name": "ANN",
        "credential": "CCC-L/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004722-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARI",
            "last_name": "SHEPARD",
            "middle_name": "ANN",
            "credential": "CCC-L/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middleburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.