Active NPI
Alicia M Rojas, MS CCC SLP
- Speech-Language Pathologist
- Breckenridge, MO
National Provider Identifier
1639373541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 118693
- Practice address
- 400 W Colfax St
Breckenridge R-I School District
Breckenridge, MO 64625-9608 - Phone
- (660) 544-5715
- Fax
- (660) 644-5710
- NPI assigned
- Jun 13, 2007
- Last updated
- Feb 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 118693 | MO | Primary |
Addresses
Primary practice location
400 W Colfax St
Breckenridge R-I School District
Breckenridge, MO 64625-9608
Mailing address
400 W Colfax St
Breckenridge, MO 64625-9608
Phone (660) 544-5715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 464727825 | Medicaid | MO |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118693 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breckenridge R-I School District | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Breckenridge, MO
- NPI 1053450643
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1639373541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W COLFAX ST",
"city": "BRECKENRIDGE",
"state": "MO",
"postal_code": "646259608",
"telephone_number": "660-544-5715",
"fax_number": "660-644-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W COLFAX ST",
"address_2": "BRECKENRIDGE R-I SCHOOL DISTRICT",
"city": "BRECKENRIDGE",
"state": "MO",
"postal_code": "646259608",
"telephone_number": "660-544-5715",
"fax_number": "660-644-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROJAS",
"first_name": "ALICIA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "118693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "464727825",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Breckenridge, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.