Individual provider Active NPI

Gretchen Roxanne Weimer, MSLP

  • Speech-Language Pathologist
  • Cranberry TWP, PA
National Provider Identifier
1336160043
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL007350 Issued in PA
Practice address
908 Stockton RDG
Cranberry TWP, PA 16066-2258
Phone
(412) 512-1688
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SL007350 PA Primary

Addresses

Primary practice location

908 Stockton RDG
Cranberry TWP, PA 16066-2258

Mailing address

908 Stockton RDG
Cranberry TWP, PA 16066-2258
Phone (412) 512-1688

Other names 1

  • Mrs. Gretchen Roxanne Myers Other 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
SL007350PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336160043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 STOCKTON RDG",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160662258",
            "telephone_number": "412-512-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 STOCKTON RDG",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160662258",
            "telephone_number": "412-512-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIMER",
        "first_name": "GRETCHEN",
        "middle_name": "ROXANNE",
        "name_prefix": "Ms.",
        "credential": "MSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "MYERS",
            "middle_name": "ROXANNE",
            "prefix": "MRS.",
            "credential": "MSLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.