Individual provider Active NPI

Sara Lynn Niederhausen, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Cincinnati, OH
National Provider Identifier
1922658590
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5097 Issued in OH
Practice address
990 Bayley Dr
Cincinnati, OH 45233-1664
Phone
(513) 347-4019
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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 5097 OH Primary

Addresses

Primary practice location

990 Bayley Dr
Cincinnati, OH 45233-1664

Mailing address

5637 Muirwood Dr
Cincinnati, OH 45233-4608
Phone (513) 324-5863

Other practice location 1

3550 Shaw Ave
Cincinnati, OH 45208-1416
Phone (513) 871-2090

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

LicenseStateTypeSpecialty
5097OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1922658590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 MUIRWOOD DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452334608",
            "telephone_number": "513-324-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 BAYLEY DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452331664",
            "telephone_number": "513-347-4019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Shaw Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452081416",
            "country_code": "US",
            "telephone_number": "513-871-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEDERHAUSEN",
        "first_name": "SARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "5097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.