Active NPI
Jodi Lynn Brack-Romeiser
- Speech-Language Pathologist
- Hoisington, KS
National Provider Identifier
1174261036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 265
- Practice address
- 515 N Oak St
Hoisington, KS 67544-2103 - Phone
- (620) 653-4549
- NPI assigned
- May 21, 2022
- Last updated
- May 21, 2022
- 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 | 265 | KS | Primary |
Addresses
Primary practice location
515 N Oak St
Hoisington, KS 67544-2103
Mailing address
2535 Lakin Ave
Great Bend, KS 67530-4340
Phone (620) 793-1550
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 |
|---|---|---|---|
| 265 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653091200000",
"number": "1174261036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 LAKIN AVE",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675304340",
"telephone_number": "620-793-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N OAK ST",
"city": "HOISINGTON",
"state": "KS",
"postal_code": "675442103",
"telephone_number": "620-653-4549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACK-ROMEISER",
"first_name": "JODI",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-21",
"last_updated": "2022-05-21",
"certification_date": "2022-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoisington, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.