Roaa Mhisen, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17715 Issued in CA

Practice address

8685 Greenback LN
Orangevale, CA 95662

Phone

(916) 542-1225

NPI assigned

Aug 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1417732777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 BOTTLEBRUSH CT.",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 GREENBACK LN",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "95662",
            "telephone_number": "916-542-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8484 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956283878",
            "country_code": "US",
            "telephone_number": "916-999-9242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8871 E Stockton Blvd",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "956249586",
            "country_code": "US",
            "telephone_number": "916-619-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MHISEN",
        "first_name": "ROAA",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Cy McCallister, LAC.
• McKinley Kenneth McGuire
• Melyssa Harumi Mendiola
• Wenda Jeanne Merz, P.T
• Sara Meyer, M.A., P.P.S.
• Cyrus A Moazam, PHD
• Mobius Movement and Physical Therapy Inc
• Marina V. Mokrushin, D.D.S.
• Alfonso Montero, LVN
• Katherine Moore

• Speech-Language Pathologist in Orangevale, CA
• Providers in Orangevale, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.