Michaela Elaine Rolph, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5275 Issued in OK

Practice address

12731 N 3990 Rd
Dewey, OK 74029-4011

Phone

(918) 688-8305

NPI assigned

Apr 21, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Michaela Elaine Wiggin Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Pawhuska Hospital, Inc.

  • Critical Access Hospital
  • Pawhuska, OK
  • NPI 1174521991
  Medicare reassignment NPD
• Freeborn Dysphagia Associates, LLC

  • Hearing and Speech Clinic/Center
  • Purcell, OK
  • NPI 1043854706

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1821732389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12731 N 3990 RD",
            "city": "DEWEY",
            "state": "OK",
            "postal_code": "740294011",
            "telephone_number": "918-688-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 N 3990 RD",
            "city": "DEWEY",
            "state": "OK",
            "postal_code": "740294011",
            "telephone_number": "918-688-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLPH",
        "first_name": "MICHAELA",
        "middle_name": "ELAINE",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "5275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrolph@pawhuskahospital.com",
            "affiliation": "Y",
            "endpointDescription": "E-Mail",
            "affiliationName": "Pawhuska Hospital Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1101 E 15th St",
            "city": "Pawhuska",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740561901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "WIGGIN",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Dewey, OK
• Providers in Dewey, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.