SARA PETERSON


Address: 4102 Shore Drive, Indianapolis, IN 46254
Phone: 3173479051

SARA PETERSON (NPI# 1811499759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 22006741A IN Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ANTHEM BLUECROSS BLUESHIELD 003330165 01

Other Providers SARA PETERSON

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

Office Location

Street Address 4102 SHORE DRIVE
City INDIANAPOLIS
State IN
Zip Code 46254

Providers in the same zip code

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 Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City INDIANAPOLIS
Zip Code 46254

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Dataset Information

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.

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