Rooted Integrative Speech Therapy Center, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ROOTED INTEGRATIVE SPEECH THERAPY CENTER, PLLC

Practice address

127 N Main St
Kernersville, NC 27284-2815

Phone

(336) 281-5081

Fax

(855) 710-6637

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Nicole Denman Smith, CCC-SLPNPI 1942548169

Title

Speech- Language Pathologist

Phone

(336) 281-5081

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Denman Smith, CCC-SLP

  • Speech-Language Pathologist
  • Winston Salem, NC
  • NPI 1942548169
  NPD Authorized official

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1194564203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2358",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272852358",
            "telephone_number": "336-281-5081",
            "fax_number": "855-710-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N MAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842815",
            "telephone_number": "336-281-5081",
            "fax_number": "855-710-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED INTEGRATIVE SPEECH THERAPY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DENMAN",
        "authorized_official_title_or_position": "SPEECH- LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "336-281-5081",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri-Lyn Robertson
• Arian Minton Robinson, FNP-C
• Pamela Dingle Robinson, M. ED, CCC/SLP
• Natalie Hatcher Rochester, M.D.
• Katherine Susanne Rollins, PSYD
• Adrian Rose
• Greg Rosenberg
• Briana Ross
• Danielle Renee Ross, ATC, MA, BS
• Lakesha Ross

• Speech-Language Pathologist in Kernersville, NC
• Providers in Kernersville, 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 May 20, 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.