Individual provider Active NPI

Gina Roughton, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Bay City, MI
National Provider Identifier
1164024279
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101008821 Issued in MI
Practice address
2919 Wilder Rd
Bay City, MI 48706-9299
Phone
(989) 671-5738
Fax
(989) 583-1900
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101008821 MI Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

2919 Wilder Rd
Bay City, MI 48706-9299

Mailing address

6534 McCarty Rd
Saginaw, MI 48603-9621
Phone (989) 798-3118

Other practice location 1

6534 McCarty Rd
Saginaw, MI 48603-9621
Phone (989) 798-3118

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gina.roughton@chs-mi.com

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7101008821MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. PastSince Jul 16, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1164024279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6534 MCCARTY RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039621",
            "telephone_number": "989-798-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 WILDER RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069299",
            "telephone_number": "989-671-5738",
            "fax_number": "989-583-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6534 McCarty Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486039621",
            "country_code": "US",
            "telephone_number": "989-798-3118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUGHTON",
        "first_name": "GINA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008821",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gina.roughton@chs-mi.com",
            "affiliation": "N",
            "address_1": "2919 Wilder Rd",
            "city": "Bay City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487069299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.