Active NPI
Emily Ruth Roberts, BS, MS,
- Speech-Language Pathologist
- Farmington, NM
National Provider Identifier
1073096772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 701 McCormick School Rd
Farmington, NM 87401-7141 - Phone
- (505) 599-8606
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
701 McCormick School Rd
Farmington, NM 87401-7141
Mailing address
300 W Ross St
Farmington, NM 87401-5861
Phone (505) 360-7044
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14194832 | Other | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | |
| SLP6534 | Other | NM | SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY, AND HEARING AID DISPENSING PRACTICES BOARD |
| 380729 | Other | NM | NEW MEXICO PUBLIC EDUCATION DEPARTMENT |
Other names 1
- Miss Emily Ruth Harrison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1073096772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W ROSS ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015861",
"telephone_number": "505-360-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MCCORMICK SCHOOL RD",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874017141",
"telephone_number": "505-599-8606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "EMILY",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "BS, MS,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
"identifier": "14194832",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY, AND HEARING AID DISPENSING PRACTICES BOARD",
"identifier": "SLP6534",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO PUBLIC EDUCATION DEPARTMENT",
"identifier": "380729",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "HARRISON",
"middle_name": "RUTH",
"prefix": "MISS",
"credential": "BS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.