Individual provider Active NPI

Sara Ann Hageman, SLP-CCC

  • Speech-Language Pathologist
  • Spokane Valley, WA
National Provider Identifier
1992969455
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60894752 Issued in WA
Practice address
13607 E Sprague Avenue
Spokane Valley, WA 99216
Phone
(509) 202-5260
Fax
(509) 931-0780
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12128290 CO
Speech-Language Pathologist 235Z00000X LL60894752 WA Primary

Addresses

Primary practice location

13607 E Sprague Avenue
Spokane Valley, WA 99216

Mailing address

13607 E Sprague Avenue
Spokane Valley, WA 99216
Phone (509) 202-5260

Other names 1

  • Sara Ann Beckenhauer 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12128290COMDSpeech-Language Pathologist
LL60894752WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1992969455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13607 E SPRAGUE AVENUE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "509-202-5260",
            "fax_number": "509-931-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13607 E SPRAGUE AVENUE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "509-202-5260",
            "fax_number": "509-931-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEMAN",
        "first_name": "SARA",
        "middle_name": "ANN",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12128290",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60894752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BECKENHAUER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.