Angela Michelle Rohn, MS CCCSLP

Key facts

NPI

1770908865

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

146.006054 (IL)

Practice address

105 W a St
Belleville, IL 62220-1326

Phone

(618) 233-2830

NPI assigned

Feb 26, 2014

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 26, 2014.

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1770908865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 ELISABETH DR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693531",
            "telephone_number": "618-589-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W A ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201326",
            "telephone_number": "618-233-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHN",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MS CCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.006054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

• Julie Rodemich
• Deanna L. Rodenberg, NP
• Enrique Rodriguez, MD
• Guillermo Rodriguez Jr., MD
• Christina Marie Rogers, RD
• Laequah Rollins
• Eric Rolves, ATC
• Kevin Andrew Roodhouse, MD
• Andrea Roper, PHARMD
• Angie Kay Roper, RPH

All providers in Belleville, IL · Speech-Language Pathologist in Illinois