Bernadette Roybal, M.S., CCC-SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

302 Issued in NM

Practice address

1300 Camino Sierra Vis
Santa Fe, NM 87505-1007

Phone

(505) 467-2331

NPI assigned

Mar 9, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Santa Fe Public Schools

  • Occupational Therapist
  • Santa Fe, NM
  • NPI 1902933500

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659403293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 VIA CABALLERO DEL NORT",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056527",
            "telephone_number": "505-467-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CAMINO SIERRA VIS",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051007",
            "telephone_number": "505-467-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYBAL",
        "first_name": "BERNADETTE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H7246",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Rowberry, MD
• Carmen Miranda Rowland
• Jianna Rowland
• Roxana Raicu, M.D.
• Katherine Roxby, NP
• Deannette Roybal, LMHC
• Donna Roybal
• Emilio Roybal IX, LMHC
• Gabriel D Roybal, D D S
• George Luis Roybal, RN

• Speech-Language Pathologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Speech-Language Pathologist in New Mexico

• 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.