Individual provider Active NPI

Juliette Mary Rogers, M.S.CCC-SLP

  • Speech-Language Pathologist
  • Lumberville, PA
National Provider Identifier
1295057586
Registry record updated Feb 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL004738L Issued in PA
Practice address
3749 River Rd
Lumberville, PA 18933-9715
Phone
(215) 297-5869
Fax
(215) 297-5869
NPI assigned
Feb 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL004738L PA Primary

Addresses

Primary practice location

3749 River Rd
Lumberville, PA 18933-9715

Mailing address

3749 River Rd
Lumberville, PA 18933-9715
Phone (215) 297-5869

Other names 1

  • Ms. Juliette Mary Rogers-Ober Former name

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

LicenseStateTypeSpecialty
SL004738LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1267228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267228800000",
    "number": "1295057586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3749 RIVER RD",
            "city": "LUMBERVILLE",
            "state": "PA",
            "postal_code": "189339715",
            "telephone_number": "215-297-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3749 RIVER RD",
            "city": "LUMBERVILLE",
            "state": "PA",
            "postal_code": "189339715",
            "telephone_number": "215-297-5869",
            "fax_number": "215-297-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JULIETTE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-27",
        "last_updated": "2010-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL004738L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIETTE",
            "last_name": "ROGERS-OBER",
            "middle_name": "MARY",
            "prefix": "MS.",
            "credential": "M.S.CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lumberville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2010; 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.