Rochelle Denise Diestelkamp, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5514 Issued in TN

Practice address

1511 Nashville Hwy
Ste a
Columbia, TN 38401-2070

Phone

(931) 490-7770

NPI assigned

Mar 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Speech Language & Learning Center of TN

  • Speech-Language Pathologist
  • Lawrenceburg, TN
  • NPI 1447883699
  NPD (past)
• The Speech Language & Learning Center LLC

  • Occupational Therapist
  • Lawrenceburg, TN
  • NPI 1053394007

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1033501986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WALDEN CREEK TRCE",
            "address_2": "STE 22-3I",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371746502",
            "telephone_number": "402-450-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 NASHVILLE HWY",
            "address_2": "STE A",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012070",
            "telephone_number": "931-490-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIESTELKAMP",
        "first_name": "ROCHELLE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley M Dickerson, O.D.
• Timothy Clayton Dickey, FNP-C
• James Lewis Dickson, D.D.S.
• Danielle Diefenbach
• Amanda Colette Dierking
• Brett Dillard, DDS
• Tabetha R Dirla, LPC-MHSP
• Divine Health Services LLC
• Divine Health Services, LLC
• Dana Dix, PHARMD, MBA

• Speech-Language Pathologist in Columbia, TN
• Providers in Columbia, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.