Individual provider Active NPI

Randall Roling

  • Speech-Language Assistant
  • Augusta, ME
National Provider Identifier
1750414876
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SAS1697 Issued in ME
Practice address
538 Western Ave
Augusta, ME 04330-7739
Phone
(207) 621-1125
Fax
(207) 626-9357
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 Assistant 2355S0801X SAS1697 ME Primary

Addresses

Primary practice location

538 Western Ave
Augusta, ME 04330-7739

Mailing address

538 Western Ave
Augusta, ME 04330-7739
Phone (207) 621-1125

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
SAS1697MEMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Griffiths Associates 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750414876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 WESTERN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307739",
            "telephone_number": "207-621-1125",
            "fax_number": "207-626-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 WESTERN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307739",
            "telephone_number": "207-621-1125",
            "fax_number": "207-626-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLING",
        "first_name": "RANDALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "ME",
            "license": "SAS1697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.