Active NPI
Hannah Roach
- Speech-Language Assistant
- Saint Louis, MO
National Provider Identifier
1396522975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 2315 Miami St
Saint Louis, MO 63118-4053 - Phone
- (314) 252-0602
- NPI assigned
- Sep 8, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Speech-Language Assistant | 2355S0801X | Primary |
Addresses
Primary practice location
2315 Miami St
Saint Louis, MO 63118-4053
Mailing address
2315 Miami St
Saint Louis, MO 63118-4053
Phone (314) 252-0602
Other practice location 1
1 Bronze Pointe Blvd Ste 2A
Swansea, IL 62226-1045
Phone (833) 587-1784
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Development of California PC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1396522975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 MIAMI ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631184053",
"telephone_number": "314-252-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 MIAMI ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631184053",
"telephone_number": "314-252-0602"
}
],
"practiceLocations": [
{
"address_1": "1 Bronze Pointe Blvd Ste 2A",
"address_purpose": "LOCATION",
"city": "Swansea",
"state": "IL",
"postal_code": "622261045",
"country_code": "US",
"telephone_number": "833-587-1784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROACH",
"first_name": "HANNAH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-08",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.