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SARA PETERSON
NPI 1811499759
Speech-Language Pathologist in Indianapolis, IN

Active since March 07, 2018Accepts Medicare Assignment
4102 SHORE DRIVE, INDIANAPOLIS, IN 46254(317) 347-9051 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 16, 2018, Mar 7, 2018 (2 updates tracked since 2018).

About Sara Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA PETERSON (NPI 1811499759) is an individual speech-language pathologist provider in Indianapolis, Indiana, licensed in Indiana (22006741A) and active in the NPI registry since March 2018. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1811499759
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSARA PETERSON
Location Address4102 SHORE DRIVEIndianapolis, IN 46254
Mailing Address4102 Shore DrIndianapolis, IN 46254-2608
Phone(317) 347-9051
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 7, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1811499759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IN · 22006741A
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.
4102 SHORE DRIVE, Indianapolis, IN 46254
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Other Identifiers 1

Other003330165Anthem Bluecross Blueshield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sara Peterson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446512404
PECOS Enrollment IDI20180403000974

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Peterson's NPI number?

The NPI number for Sara Peterson is 1811499759. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Where is Sara Peterson located?

Sara Peterson practices at 4102 Shore Drive, Indianapolis, IN 46254. The listed phone number is (317) 347-9051.

What is Sara Peterson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Sara Peterson enrolled in Medicare?

Yes. Sara Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sara Peterson was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.