Provider Demographics
NPI:1417184037
Name:GABRIEL, SARA A (AUD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:A
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MISS
Other - First Name:SARA
Other - Middle Name:A
Other - Last Name:ROBIDOUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5101 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1614
Mailing Address - Country:US
Mailing Address - Phone:816-478-4200
Mailing Address - Fax:816-875-2598
Practice Address - Street 1:888 HAINES STE 224
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-1008
Practice Address - Country:US
Practice Address - Phone:816-781-2333
Practice Address - Fax:816-875-2598
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2175231H00000X
MO2009015804231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOW44000017Medicare PIN