Active NPI
Saren Camille Abramson, CCC-SLP
- Speech-Language Pathologist
- Draper, UT
National Provider Identifier
1891259826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10959510-4102
- Practice address
- 12453 S 265 W Ste B
Draper, UT 84020-5420 - Phone
- (801) 443-7775
- Fax
- (801) 447-0107
- NPI assigned
- Jan 23, 2019
- Last updated
- Jan 23, 2019
- 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 | 10959510-4102 | UT | Primary |
Addresses
Primary practice location
12453 S 265 W Ste B
Draper, UT 84020-5420
Mailing address
PO Box 363
Riverton, UT 84065-0363
Phone (801) 443-7775
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10959510-4102 | UT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legendary Pediatric Therapy | Speech-Language Pathologist | 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.
-
dba Functionabilities
- Occupational Therapist
- Draper, UT
- NPI 1568869899
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1891259826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 363",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840650363",
"telephone_number": "801-443-7775",
"fax_number": "801-447-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12453 S 265 W STE B",
"city": "DRAPER",
"state": "UT",
"postal_code": "840205420",
"telephone_number": "801-443-7775",
"fax_number": "801-447-0107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMSON",
"first_name": "SAREN",
"middle_name": "CAMILLE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "10959510-4102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.