Individual provider Active NPI

Nancy Boyce Roth

  • Speech-Language Pathologist
  • Annapolis, MD
National Provider Identifier
1447751425
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
07921 Issued in MD
Practice address
111 Dogwood Rd
Annapolis, MD 21403-2701
Phone
(410) 222-1610
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 07921 MD Primary

Addresses

Primary practice location

111 Dogwood Rd
Annapolis, MD 21403-2701

Mailing address

9644 Sea Shadow
Columbia, MD 21046-2031
Phone (410) 370-3753

Other practice location 1

8815 Columbia 100 Pkwy Ste 4
Columbia, MD 21045-2361
Phone (877) 776-8502

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
07921MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spot for Speech and Occupational Inc. Speech-Language Pathologist Past Accepting new patients
The Children'S Spot Speech-Language Pathologist 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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447751425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9644 SEA SHADOW",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462031",
            "telephone_number": "410-370-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOGWOOD RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032701",
            "telephone_number": "410-222-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8815 Columbia 100 Pkwy Ste 4",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210452361",
            "country_code": "US",
            "telephone_number": "877-776-8502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "NANCY",
        "middle_name": "BOYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.