Active NPI
Sara Ann Hageman, SLP-CCC
- Speech-Language Pathologist
- Spokane Valley, WA
National Provider Identifier
1992969455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60894752
- 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
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 | 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
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 |
|---|---|---|---|
| 12128290 | CO | MD | Speech-Language Pathologist |
| LL60894752 | WA | MD | Speech-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.