Bobbie Jo Roman-Mansanales, MS., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104573 Issued in TX

Practice address

802 N Sam Houston Ave
Odessa, TX 79761-3974

Phone

(432) 456-8711

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1154041036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 19TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797632805",
            "telephone_number": "432-559-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N SAM HOUSTON AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797613974",
            "telephone_number": "432-456-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN-MANSANALES",
        "first_name": "BOBBIE",
        "middle_name": "JO",
        "credential": "MS., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Odessa, TX
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.