Active NPI
Sarah Elizabeth Wilson, M.S. CCC-SLP
- Speech-Language Pathologist
- Tulsa, OK
National Provider Identifier
1972097590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5413
- Practice address
- 4908 S Sheridan Rd
Tulsa, OK 74145-5712 - Phone
- (918) 984-9153
- NPI assigned
- Jun 18, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 200043 | AR | |
| Speech-Language Pathologist | 235Z00000X | 5413 | OK | Primary |
Addresses
Primary practice location
4908 S Sheridan Rd
Tulsa, OK 74145-5712
Mailing address
4908 S Sheridan Rd
Tulsa, OK 74145-5712
Phone (918) 984-9153
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200043 | Medicaid | AR | |
| 200934330A | Medicaid | OK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200043 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jarvis Pediatric Therapy, Inc. | Past | Accepting new patients | |
| Spectrum of Hope, LLC | Speech-Language Pathologist | Past | 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.
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1669983409
Speech-Language Pathologist
-
- Specialist
- Springdale, AR
- NPI 1467561688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1972097590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4908 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741455712",
"telephone_number": "918-984-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4908 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741455712",
"telephone_number": "918-984-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2022-02-07",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "200043",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "5413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200043",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200934330A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.