Provider Demographics
NPI:1558014126
Name:OMNES, SARAH NICHOLE (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:NICHOLE
Last Name:OMNES
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:NICHOLE
Other - Last Name:SCHAFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24876 ENCHANTED PINE ST
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83607-4803
Mailing Address - Country:US
Mailing Address - Phone:208-565-0093
Mailing Address - Fax:
Practice Address - Street 1:1106 SW 4TH AVE
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OR
Practice Address - Zip Code:97914-2130
Practice Address - Country:US
Practice Address - Phone:541-216-5115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist