Active NPI
Kirsie Heather Roemer, CCC-SLP
- Speech-Language Pathologist
- Midlothian, TX
National Provider Identifier
1154929792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 117949
- Practice address
- 600 S 5TH St
Midlothian, TX 76065-3425 - Phone
- (469) 856-6000
- NPI assigned
- Oct 15, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 117949 | TX | Primary |
| Speech-Language Pathologist | 235Z00000X | 10297 | MN |
Addresses
Primary practice location
600 S 5TH St
Midlothian, TX 76065-3425
Mailing address
100 Walter Stephenson Rd
Midlothian, TX 76065-3418
Phone (469) 856-6000
Other practice location 1
721 Commerce Dr
Woodbury, MN 55125
Phone (651) 424-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 446065101 | Medicaid | TX |
Other names 1
- Kirsie Heather Aho
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 |
|---|---|---|---|
| 117949 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fraser Child and Family Center | Current | Accepting new patients | |
| Fraser | Past | Accepting new patients |
Locations
721 Commerce Dr
Woodbury, MN 55125
Phone (651) 424-4000
Organizations & group practices 2
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1609922194
-
- Rehabilitation Clinic/Center
- Richfield, MN
- NPI 1063568574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1154929792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WALTER STEPHENSON RD",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760653418",
"telephone_number": "469-856-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S 5TH ST",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760653425",
"telephone_number": "469-856-6000"
}
],
"practiceLocations": [
{
"address_1": "721 Commerce Dr",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "55125",
"country_code": "US",
"telephone_number": "651-424-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROEMER",
"first_name": "KIRSIE",
"middle_name": "HEATHER",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "117949",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "10297",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "446065101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSIE",
"last_name": "AHO",
"middle_name": "HEATHER",
"credential": "CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Midlothian, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.