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Sarah Lively , CCC-SLP

Speech-Language Pathologist β€’ St Augustine, FL

Active NPI 1740721885 Individual Practitioner Female Practitioner
Practice location in NPPES

111 Nature Walk Pkwy Unit 108
St Augustine, FL 320923065

Call 9047296759 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

111 Nature Walk Pkwy Unit 108

St Augustine, FL 320923065

Telephone 9047296759
Organization at the Same NPPES Address or Phone
Lively Speech And Language Therapy, Llc Facility NPI 1912614488

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Sarah Lively has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in St Augustine and Florida

99 active clinicians are listed under Speech-Language Pathologist with a practice address in St Augustine, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

0% of these 99 clinicians have the CMS telehealth indicator.

3% of these 99 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-12
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA14057

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20230726003204

Enrollment State Jurisdiction

FL

PECOS Control ID

8123489945

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location June 06, 2023

Registered at 111 NATURE WALK PKWY UNIT 108, ST AUGUSTINE, FL 320923065 (Tel: 9047296759)

πŸ“
Updated Business Mailing Address June 06, 2023

Registered at 111 NATURE WALK PKWY UNIT 108, ST AUGUSTINE, FL 320923065 (Tel: 9047296759)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2023

Speech-Language Pathologist (license number reported to NPPES: FL SA14057)

πŸ“
Updated Practice Location February 24, 2023

Registered at 95 TAVERNIER DR, PONTE VEDRA, FL 320810676 (Tel: 9047296759)

πŸ“
Updated Business Mailing Address November 15, 2022

Registered at 95 TAVERNIER DR, PONTE VEDRA, FL 320810676 (Tel: 9047296759)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2022

Speech-Language Pathologist (license number reported to NPPES: CA SP34219)

βœ…
NPI Profile Active March 08, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 08, 2017

Registered at 194 BROOKLINE TRL, PONTE VEDRA, FL 320818491 (Tel: 2296994591)

πŸ“
Business Mailing Address (Initial Record) March 08, 2017

Registered at 194 BROOKLINE TRL, PONTE VEDRA, FL 320818491 (Tel: 2296994591)

πŸ‘€
Provider Name / Credentials (Initial Record) March 08, 2017

Recorded as SARAH LIVELY, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2017

Speech-Language Pathologist (license number reported to NPPES: FL SA14057)

🟒
Initial NPI Registration & Enumeration March 08, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740721885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2017
Last Update: January 12, 2024
Sole Proprietor: Yes

Other Speech-Language Pathologists in St Augustine

Healthcare providers in St Augustine

Mailing Address

111 Nature Walk Pkwy Unit 108

St Augustine, FL 320923065

Phone: 9047296759

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.