Jessica Deann Roetzer

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA23052 Issued in FL

Practice address

3471 Caravelle St
Sarasota, FL 34240-1253

Phone

(620) 290-4075

NPI assigned

Jul 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dodge City Diagnostic, LLC

  • Specialist
  • Dodge City, KS
  • NPI 1689699613
  NPD (past)
• Perfect Fit Foundation of SWK LLC

  dba Perfect Fit Therapy Clinic

  • Behavior Analyst
  • Dodge City, KS
  • NPI 1295341758
  NPD (past)

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1497328066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 CARAVELLE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342401253",
            "telephone_number": "620-290-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 CARAVELLE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342401253",
            "telephone_number": "620-290-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROETZER",
        "first_name": "JESSICA",
        "middle_name": "DEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA23052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rodriguez, MD
• Suzanna Noel Roeder
• Eva Roelker, NP
• Christina Roemer, PA-C
• Scott Christopher Roemer, M.D., D.M.D.
• Nermine R Rofael, CNM
• Roger a. Weber MD PA
• Roger M Romano DC PA
• Roger Shea ,M.D. ,Inc.
• Rogers Family Chiropractic Clinic

• Speech-Language Pathologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.