Mary Ann Ann Ronczkowski, MS - SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP4210 Issued in TN

Practice address

444 One Eleven Place
Cookeville, TN 38506

Phone

(931) 525-6655

NPI assigned

Jan 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1295654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1841595865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 ONE ELEVEN PLACE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38506",
            "telephone_number": "931-525-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 ONE ELEVEN PLACE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38506",
            "telephone_number": "931-525-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONCZKOWSKI",
        "first_name": "MARY ANN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS - SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP 4210",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP4210",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Allen Rodriguez, PA-C
• Brenton Allen Hugh Rogers, D.O.
• Zsachlayne Roguska, PA-C
• Erin L Rohman, MD
• Grant T Rohman, MD
• Shehla Chishti Rooney, PT
• Renate Alyssa Roop, MS
• Carole Lynnett Rosenbaum, DPM
• Carolyn Ann Ross, D.O.
• Kyonna Ross

• Speech-Language Pathologist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.