SARA PETERSON (NPI# 1811499759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811499759 |
Entity Type | Individual |
Full Name | SARA PETERSON |
Practice Address |
4102 Shore Drive Indianapolis IN 46254 |
Mailing Address |
4102 Shore Dr Indianapolis IN 46254-2608 |
Practice Telephone | 3173479051 |
Enumeration Date | 2018-03-07 |
Last Update Date | 2018-06-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 22006741A | IN | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ANTHEM BLUECROSS BLUESHIELD | 003330165 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396125159 | Sara Peterson | Nurse Practitioner | 10600 Quivira Rd Fl 3, Overland Park, KS 66215-2309 | 2015-06-05 |
1255671491 | Sara Peterson | Counselor | 11873 Springs Rd Unit 120, Conifer, CO 80433-7263 | 2013-02-25 |
1902813124 | Sara Alice Peterson | Counselor | 455 E Paces Ferry Rd Ne, Suite 312, Atlanta, GA 30305-3313 | 2006-08-01 |
1497378608 | Sara Lagrave Peterson | Physical Therapist | 11960 Lioness Way Ste 260, Parker, CO 80134-5640 | 2020-05-21 |
1679102396 | Sara Peterson | Physical Medicine & Rehabilitation | 1024 Central Park Dr, Steamboat Springs, CO 80487-8813 | 2020-04-04 |
1134620628 | Sara L. Peterson | Physical Therapist | 601 University Ave Ste 185, Sacramento, CA 95825-6739 | 2018-02-21 |
1164876132 | Sara Peterson | Counselor | 1334 S Maryland Pkwy, Las Vegas, NV 89104-3310 | 2016-04-15 |
1548632151 | Sara Peterson | Physical Therapist | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2015-10-22 |
1417204389 | Sara Mae Peterson | Specialist/Technologist, Other | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2012-08-10 |
1154611077 | Sara Peterson | Psychologist | 4955 S Durango Dr, #207, Las Vegas, NV 89113-0152 | 2011-04-12 |
Street Address |
4102 SHORE DRIVE |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
1790997708 | Edward Huntington Smith Jr. | Specialist/Technologist | 7001 W 56th Street, Indianapolis, IN 46254 | 2007-05-03 |
Find all providers in zip 46254 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215554969 | Emma Engdahl | Speech-Language Pathologist | 6825 Madison Ave Ste A, Indianapolis, IN 46227-5093 | 2020-06-29 |
1578186300 | Hannah Marjorie Brophy | Speech-Language Pathologist | 5701 Brill Rd, Indianapolis, IN 46227-1908 | 2020-05-27 |
1851910954 | Emily Delks | Speech-Language Pathologist | 6085 E 10th St, Indianapolis, IN 46219-4608 | 2020-04-09 |
1073158242 | Kathleen Hall Barrett | Speech-Language Pathologist | 5130 Washington Blvd, Indianapolis, IN 46205-1045 | 2019-11-12 |
1881248524 | Lindsay Stone | Speech-Language Pathologist | 8736 N Port Cir, Indianapolis, IN 46236-9204 | 2019-07-31 |
1255999322 | Jacqueline Nicole Loudermilk | Speech-Language Pathologist | 406 Canal Court South Dr Apt K, Indianapolis, IN 46202-4622 | 2019-06-03 |
1760956932 | Katherine Elizabeth Routen | Speech-Language Pathologist | 923 E 52nd St, Indianapolis, IN 46205-1123 | 2019-01-21 |
1861965360 | Jillian Quillen Renschler | Speech-Language Pathologist | 7440 Hague Rd, Indianapolis, IN 46256-1930 | 2019-01-07 |
1477037273 | Shannon Kathleen Murphy | Speech-Language Pathologist | 1435 N Alabama St, Indianapolis, IN 46202-2525 | 2018-09-18 |
1598246399 | Jessica Ruschak | Speech-Language Pathologist | 4638 Cameron Ridge Dr Apt 137, Indianapolis, IN 46240-7772 | 2018-08-28 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46254 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.