Grace Ellen Roegiers, MS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP7021 Issued in CA

Practice address

21 Tamal Vista Blvd
187
Corte Madera, CA 94925-1130

Phone

(415) 413-4656

NPI assigned

Jun 2, 2014

Last updated

Jun 2, 2014By the provider in NPPES

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1578975074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD",
            "address_2": "187",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251130",
            "telephone_number": "415-413-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD",
            "address_2": "187",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251130",
            "telephone_number": "415-413-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEGIERS",
        "first_name": "GRACE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MS SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP7021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Reynolds-Kyle, D.C.
• Jean-Louis Richiardone, MS, L.AC.
• Jordan Rinker, M.D., M.P.H.
• Virginia Ann Ritchey, PH.D.
• Robbin Rockett
• Stephanie Buell Rooney, PHD
• Anne-Olivia S. Rose, PSY.D.
• Robert Christopher Ross, D.C.
• Jane S Rowe, M.D.
• Ruth Rubin, M.D.

• Speech-Language Pathologist in Corte Madera, CA
• Providers in Corte Madera, 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 Jun 2, 2014; 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.