Nicholas Roffers

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9878 Issued in MN

Practice address

3400 W 66TH St
Edina, MN 55435-2111

Phone

(952) 914-1965

NPI assigned

Nov 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1033689674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 VALLEY DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372334",
            "telephone_number": "952-220-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 66TH ST",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352111",
            "telephone_number": "952-914-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFFERS",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-27",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Rodriguez, MS, RD, LDN
• Kristin Allison Roehl, LMFT
• Naomi Autumn Roers, PA-C
• David Ray Roetman, D.C.
• Jacqueline Faye Roff, PA-C
• James A Rohde, M.D.
• Angela Lynn Rohland, NP
• Michaela Rokosz, MD
• Christopher F. Roland, M.D.
• Brittany Roley

• Speech-Language Pathologist in Edina, MN
• Providers in Edina, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.