Individual provider Active NPI

Christopher Anthony Roosmalen, PH.D. CCC-SLP

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1508440777
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113822 Issued in TX
Practice address
6420 Escondido Dr
El Paso, TX 79912-2977
Phone
(915) 581-3345
Fax
(915) 833-4581
NPI assigned
May 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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 113822 TX Primary

Addresses

Primary practice location

6420 Escondido Dr
El Paso, TX 79912-2977

Mailing address

5621 Valley Cedar Dr
El Paso, TX 79932-4320
Phone (915) 222-2365

Other practice location 1

5621 Valley Cedar Dr
El Paso, TX 79932-4320
Phone (915) 222-2365

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherN/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210715002368 TX Practitioner - Qualified Speech Language Pathologist 7719389550 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Apt Health & Wellness LLC CurrentSince Apr 7, 2021 Accepting new patients
World of Words Speech & Feeding Services, LLC Speech-Language Pathologist Past Accepting new patients
Huffman Rehab PLLC Past Accepting new patients

Locations

6420 Escondido Dr
El Paso, TX 79912
Phone (915) 300-1330

Organizations & group practices 3

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1508440777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 VALLEY CEDAR DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799324320",
            "telephone_number": "915-222-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 ESCONDIDO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122977",
            "telephone_number": "915-581-3345",
            "fax_number": "915-833-4581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5621 Valley Cedar Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799324320",
            "country_code": "US",
            "telephone_number": "915-222-2365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOSMALEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PH.D. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.