Individual provider Active NPI

Megan Gabrielle Mason, SLP

  • Speech-Language Pathologist
  • Sweetwater, TX
National Provider Identifier
1316213010
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105911 Issued in TX
Practice address
1104 Henderson St
Sweetwater, TX 79556-6450
Phone
(325) 236-6821
Fax
(325) 236-6112
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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 105911 TX Primary

Addresses

Primary practice location

1104 Henderson St
Sweetwater, TX 79556-6450

Mailing address

1409 E 19TH St
Big Spring, TX 79720-5822
Phone (432) 270-3422

Other names 1

  • Megan Gabrielle Roffers 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
105911TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Centers for MHMR Past Accepting new patients
Paso del Norte Children'S Development Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1316213010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 E 19TH ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797205822",
            "telephone_number": "432-270-3422",
            "fax_number": "325-236-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 HENDERSON ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795566450",
            "telephone_number": "325-236-6821",
            "fax_number": "325-236-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "MEGAN",
        "middle_name": "GABRIELLE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "ROFFERS",
            "middle_name": "GABRIELLE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sweetwater, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.