Jaclyn Nicole Roell, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

COND. 2015218 Issued in OH

Practice address

3750 Far Hills Ave
Kettering, OH 45429-2506

Phone

(937) 499-1400

NPI assigned

Oct 1, 2015

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

Credentials

Master of Arts

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.

• Kettering City School District

  • Local Education Agency (LEA)
  • Kettering, OH
  • NPI 1205035177
  NPD (past)

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1669842837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 GRAND AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452052222",
            "telephone_number": "513-617-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 FAR HILLS AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292506",
            "telephone_number": "937-499-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROELL",
        "first_name": "JACLYN",
        "middle_name": "NICOLE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND. 2015218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley L Robinson, MD
• Patricia Ann Robinson, BS LSW
• Tara Robinson
• Tonya Robinson, R.N.
• Katlyn Robison, NP
• Jacqueline L Roethlisberger, NP
• Bryan Rogers, ATC
• Lynn Diane Rogers, RNFA
• Katrina Lynn Rohlfs, MD
• Jason R Roller, PA-C

• Speech-Language Pathologist in Kettering, OH
• Providers in Kettering, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.