Active NPI
Hailey Roush
- Speech-Language Pathologist
- Plumas Lake, CA
National Provider Identifier
1487594974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 23280
- Practice address
- 1220 Zanes Dr
Plumas Lake, CA 95961-9090 - Phone
- (530) 749-0690
- NPI assigned
- Apr 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 23280 | CA | Primary |
Addresses
Primary practice location
1220 Zanes Dr
Plumas Lake, CA 95961-9090
Mailing address
PO Box 187
Nicolaus, CA 95659-0187
Phone (530) 713-8454
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1487594974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "NICOLAUS",
"state": "CA",
"postal_code": "956590187",
"telephone_number": "530-713-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 ZANES DR",
"city": "PLUMAS LAKE",
"state": "CA",
"postal_code": "959619090",
"telephone_number": "530-749-0690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSH",
"first_name": "HAILEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-01",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "23280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plumas Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.