Melissa Rose

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005625 Issued in GA

Practice address

4239 Vienna Way
Marietta, GA 30062

Phone

(770) 355-3087

Fax

(770) 200-1541

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1013082007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 VIENNA WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625721",
            "telephone_number": "770-355-3087",
            "fax_number": "770-200-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 VIENNA WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "770-355-3087",
            "fax_number": "770-200-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Johnson Ferry Pl",
            "address_2": "I-20",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300682048",
            "country_code": "US",
            "telephone_number": "770-321-6705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005625",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137912733G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Counseling, LLC.
• Alexis Rose
• Angela Michelle Rose
• Christine Michelle Rose, PSY.D.
• Elizabeth Rose, OTR
• Scott Patrick Rose, M.D., D.M.D.
• Roseann Spears DC LLC
• Andrew Roseberry, RBT
• Roselane Health Center by Harborview, LLC
• Max Rosenberg, PA

• Speech-Language Pathologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.