IndividualActive
Sara Prom
NPI 1174464200 · Speech-Language Pathologist · Big Lake, MN
Provider details
- NPI number
- 1174464200
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 356680 (MN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17901 205th Ave Nw
Big Lake, MN 55309-4659
Phone: (763) 262-8100
Street-level locationGet directions
Mailing address
17901 205th Ave Nw
Big Lake, MN 55309-4659
Registry dates
- Enumerated
- 2026-04-02
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.