Individual provider Active NPI

Sarah Mary Kraus, MS/CCC/SLP

  • Speech-Language Pathologist
  • New Holstein, WI
National Provider Identifier
1881825651
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3229-154 Issued in WI
Practice address
1609 Coolidge St
New Holstein, WI 53061-1629
Phone
(920) 898-5627
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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 3229-154 WI Primary

Addresses

Primary practice location

1609 Coolidge St
New Holstein, WI 53061-1629

Mailing address

3613 South 13TH Street
Meadow View Manor
Sheboygan, WI 53081
Phone (920) 458-4040

Other names 1

  • Sarah Mary Costello 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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1881825651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 SOUTH 13TH STREET",
            "address_2": "MEADOW VIEW MANOR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53081",
            "telephone_number": "920-458-4040",
            "fax_number": "920-208-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 COOLIDGE ST",
            "city": "NEW HOLSTEIN",
            "state": "WI",
            "postal_code": "530611629",
            "telephone_number": "920-898-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "SARAH",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "MS/CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3229-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "COSTELLO",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Holstein, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.