Robin Goldberg Roth, M.S.P., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10888 Issued in NC

Practice address

129 N Tradd St
Statesville, NC 28677-5239

Phone

(704) 380-0799

Fax

(704) 278-0146

NPI assigned

May 25, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Carolina Speech Therapy Inc

  • Speech-Language Pathologist
  • Cleveland, NC
  • NPI 1285753939
  NPD (past)
• Kinetic Kids, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Charlotte, NC
  • NPI 1891949707
  NPD (past)

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

{
    "created_epoch": "1400976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1184036196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16820 MACANTHRA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134879",
            "telephone_number": "704-807-5699",
            "fax_number": "704-631-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N TRADD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775239",
            "telephone_number": "704-380-0799",
            "fax_number": "704-278-0146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 Hartford Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282092477",
            "country_code": "US",
            "telephone_number": "803-730-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "ROBIN",
        "middle_name": "GOLDBERG",
        "credential": "M.S.P., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-25",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF EXAMINERS - SEARCH SPEECH AND LANGUAGE PATHOLOGISTS",
            "identifier": "10888",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Yoder Rose, OD
• Sheika Evelyn Rose, PMHNP-BC
• Christa Roseberry
• Stephen Parker Rosser, MD
• Julia Rossi, AUD
• Round Table Performance LLC
• Ruach Faith & Courage PLLC
• Ruby Ann Grimm
• Danielle Luna Rudel, LCSW
• Colleen E Russo, M.S., P.T.

• Speech-Language Pathologist in Statesville, NC
• Providers in Statesville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.