Individual provider Active NPI

Roxanne Marie Delcau, EDD

  • Speech-Language Pathologist
  • Florissant, MO
National Provider Identifier
1598960122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
00749 Issued in MO
Practice address
6768 N US Highway 67
Florissant, MO 63034-2742
Phone
(314) 741-9101
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 00749 MO Primary

Addresses

Primary practice location

6768 N US Highway 67
Florissant, MO 63034-2742

Mailing address

1436 Stoney Meadows Dr
Apt. E.
Valley Park, MO 63088-1228
Phone (636) 529-1320

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

State licenses

LicenseStateTypeSpecialty
00749MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598960122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 STONEY MEADOWS DR",
            "address_2": "APT. E.",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881228",
            "telephone_number": "636-529-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6768 N US HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342742",
            "telephone_number": "314-741-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELCAU",
        "first_name": "ROXANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "00749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.