Individual provider Active NPI

Sara Van Slate

  • Speech-Language Pathologist
  • Arlington, TX
National Provider Identifier
1851911424
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
115469 Issued in TX
Practice address
1140 W Pioneer Pkwy Ste a
Arlington, TX 76013-6383
Phone
(469) 587-9397
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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 115469 TX Primary

Addresses

Primary practice location

1140 W Pioneer Pkwy Ste a
Arlington, TX 76013-6383

Mailing address

8101 Boat Club Rd Ste 160
Fort Worth, TX 76179-3631

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
115469TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tadpoles Pediatric Therapy Speech-Language Pathologist PastSince Apr 26, 2020 Accepting new patients
Talking Tadpoles, LLC Speech-Language Pathologist PastSince Apr 26, 2020 Accepting new patients

Organizations & group practices 2

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1851911424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BOAT CLUB RD STE 160",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W PIONEER PKWY STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136383",
            "telephone_number": "469-587-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SLATE",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.