Individual provider Active NPI

Sarah Felicia Sullivan

  • Speech-Language Pathologist
  • Parrish, FL
National Provider Identifier
1831546183
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
08337 Issued in MD
Practice address
9027 Royal River Cir
Parrish, FL 34219-3221
Phone
(443) 623-0223
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 19254 FL
Speech-Language Pathologist 235Z00000X 01214L MD
Speech-Language Pathologist 235Z00000X 08337 MD Primary

Addresses

Primary practice location

9027 Royal River Cir
Parrish, FL 34219-3221

Mailing address

313 Songwood CT
Millersville, MD 21108-2417
Phone (443) 623-0223

Other practice location 1

313 Songwood Ct
Millersville, MD 21108-2417
Phone (443) 623-0223

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
19254FLMDSpeech-Language Pathologist
01214LMDMDSpeech-Language Pathologist
08337MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1831546183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SONGWOOD CT",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082417",
            "telephone_number": "443-623-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9027 ROYAL RIVER CIR",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342193221",
            "telephone_number": "443-623-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Songwood Ct",
            "address_purpose": "LOCATION",
            "city": "Millersville",
            "state": "MD",
            "postal_code": "211082417",
            "country_code": "US",
            "telephone_number": "443-623-0223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SARAH",
        "middle_name": "FELICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "19254",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01214L",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parrish, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.