Active NPI
Sarah Mary Kraus, MS/CCC/SLP
- Speech-Language Pathologist
- New Holstein, WI
National Provider Identifier
1881825651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3229-154
- 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
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 | 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
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.