Roxanne Petterson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

306 S Madison Ave
Knob Noster, MO 65336-1506

Phone

(660) 238-5107

NPI assigned

Nov 8, 2013

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1588093645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S MADISON AVE",
            "city": "KNOB NOSTER",
            "state": "MO",
            "postal_code": "653361506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S MADISON AVE",
            "city": "KNOB NOSTER",
            "state": "MO",
            "postal_code": "653361506",
            "telephone_number": "660-238-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTERSON",
        "first_name": "ROXANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Owens
• Alycia Palmer
• Jennifer Dawn Parson, LPN
• Lisa Patterson
• Ciara Pennock, FNP-C
• Chinh Anh Pham, DPT
• Kevin Daniel Sartin, DPT
• Grace Schibi, DPT
• Allie McNeil Schnorenberg, COTA
• Rebecca Anne Seelinger, MSN, ARNP, FNP-C

• All providers in Knob Noster, MO
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.