Active NPI
Diane Margaret Roza, M.ED., CAGS,CCC-SLP
- Speech-Language Pathologist
- Portland, ME
National Provider Identifier
1205981891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#1950
- Practice address
- 222 Auburn St
Portland, ME 04103-6002 - Phone
- (207) 797-8255
- Fax
- (207) 797-5560
- NPI assigned
- Jan 24, 2007
- Last updated
- Oct 21, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#1950 | ME | Primary |
Addresses
Primary practice location
222 Auburn St
Portland, ME 04103-6002
Mailing address
222 Auburn St
Portland, ME 04103-6002
Phone (207) 797-8255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1228 | Other | MA | STATE OF MASS |
| SP#1950 | Other | ME | STATE OF MAINE |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#1950 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1205981891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 AUBURN ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041036002",
"telephone_number": "207-797-8255",
"fax_number": "207-797-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 AUBURN ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041036002",
"telephone_number": "207-797-8255",
"fax_number": "207-797-5560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZA",
"first_name": "DIANE",
"middle_name": "MARGARET",
"name_prefix": "Mrs.",
"credential": "M.ED., CAGS,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP#1950",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MASS",
"identifier": "1228",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MAINE",
"identifier": "SP#1950",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.