Active NPI
Ann Roubal, S.L.P.
- Speech-Language Pathologist
- Cedar Grove, WI
National Provider Identifier
1144556754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3195-154
- Practice address
- N598 Knepprath Rd
Cedar Grove, WI 53013-1117 - Phone
- (920) 627-8486
- NPI assigned
- Nov 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 3195-154 | WI | Primary |
Addresses
Primary practice location
N598 Knepprath Rd
Cedar Grove, WI 53013-1117
Mailing address
N598 Knepprath Rd
Cedar Grove, WI 53013-1117
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3195-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1144556754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N598 KNEPPRATH RD",
"city": "CEDAR GROVE",
"state": "WI",
"postal_code": "530131117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N598 KNEPPRATH RD",
"city": "CEDAR GROVE",
"state": "WI",
"postal_code": "530131117",
"telephone_number": "920-627-8486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUBAL",
"first_name": "ANN",
"credential": "S.L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-02",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "3195-154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.