Individual provider Active NPI

Rachelle Romfo, MS-CCCSP

  • Speech-Language Pathologist
  • Devils Lake, ND
National Provider Identifier
1821140427
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
677 Issued in ND
Practice address
801 5TH Ave SE
Devils Lake, ND 58301-3649
Phone
(701) 662-7690
Fax
(701) 662-7684
NPI assigned
Jan 17, 2007
Sex
Female
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 Pathologist 235Z00000X 677 ND Primary

Addresses

Primary practice location

801 5TH Ave SE
Devils Lake, ND 58301-3649

Mailing address

801 5TH Ave SE
Devils Lake, ND 58301-3649
Phone (701) 662-7690

Other identifiers 1

IdentifierTypeStateIssuer
50898MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331000439 ND Practitioner - Qualified Speech Language Pathologist 9739664574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

425 College Dr S
Suite 15
Devils Lake, ND 58301-3537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
677NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Region Special Education Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821140427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 5TH AVE SE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013649",
            "telephone_number": "701-662-7690",
            "fax_number": "701-662-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH AVE SE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013649",
            "telephone_number": "701-662-7690",
            "fax_number": "701-662-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMFO",
        "first_name": "RACHELLE",
        "credential": "MS-CCCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50898",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.