Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740721885 Individual Practitioner Female Practitioner

Sarah Lively , CCC-SLP

Speech-Language Pathologist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Sarah Lively, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in St Augustine, FL. Practice services are available at 111 NATURE WALK PKWY UNIT 108 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 Nature Walk Pkwy Unit 108

St Augustine, FL 320923065

Telephone 9047296759
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
100 Specialists

Practicing in St Augustine, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-12
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kimberly Kennell , MS, CCC-SLP

Speech-Language Pathologist

NPI 1477817252

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Mallory Abercrombie

Speech-Language Pathologist

NPI 1487364162

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location June 06, 2023

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

📍
Updated Business Mailing Address June 06, 2023

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

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

Speech-Language Pathologist (License #SA14057 in FL)

📍
Updated Practice Location February 24, 2023

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

📍
Updated Business Mailing Address November 15, 2022

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

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

Speech-Language Pathologist (License #SP34219 in CA)

NPI Profile Active March 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2017

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

📍
Updated Business Mailing Address March 08, 2017

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

👤
Provider Name / Credentials Updated March 08, 2017

Recorded as SARAH LIVELY, CCC-SLP

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

Speech-Language Pathologist (License #SA14057 in FL)

🟢
Initial NPI Registration & Enumeration March 08, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

111 Nature Walk Pkwy Unit 108

St Augustine, FL 320923065

Phone: 9047296759

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.