Active NPI
Sara Kirsten Chavanne, M.S.
- Speech-Language Pathologist
- Rochester, NY
National Provider Identifier
1851619209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 019977
- Practice address
- 160 Wallace Way BLDG 9
Rochester, NY 14624 - Phone
- (585) 352-2400
- NPI assigned
- May 10, 2010
- Last updated
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 019977 | NY | Primary |
Addresses
Primary practice location
160 Wallace Way BLDG 9
Rochester, NY 14624
Mailing address
44 E Buffalo St
Churchville, NY 14428-9323
Other practice location 1
149 N Main St
Fairport, NY 14450-1434
Phone (585) 377-2230
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019977 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Start Pediatric Services | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Fairport, NY
- NPI 1467618231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1851619209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 E BUFFALO ST",
"city": "CHURCHVILLE",
"state": "NY",
"postal_code": "144289323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 WALLACE WAY BLDG 9",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14624",
"telephone_number": "585-352-2400"
}
],
"practiceLocations": [
{
"address_1": "149 N Main St",
"address_purpose": "LOCATION",
"city": "Fairport",
"state": "NY",
"postal_code": "144501434",
"country_code": "US",
"telephone_number": "585-377-2230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAVANNE",
"first_name": "SARA",
"middle_name": "KIRSTEN",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-10",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "019977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.