Active NPI
Sue Roesle
- Audiologist
- Saint Joseph, MO
National Provider Identifier
1851476873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00951
- Practice address
- 5301 Faraon St
Suite 160
Saint Joseph, MO 64506-3373 - Phone
- (816) 671-4840
- Fax
- (816) 671-4845
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00951 | MO | Primary |
Addresses
Primary practice location
5301 Faraon St
Suite 160
Saint Joseph, MO 64506-3373
Mailing address
5301 Faraon St
Suite 160
Saint Joseph, MO 64506-3373
Phone (816) 671-4840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00951 | Other | MO | MO AUDIOLOGY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00951 | MO | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851476873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 FARAON ST",
"address_2": "SUITE 160",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063373",
"telephone_number": "816-671-4840",
"fax_number": "816-671-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 FARAON ST",
"address_2": "SUITE 160",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063373",
"telephone_number": "816-671-4840",
"fax_number": "816-671-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESLE",
"first_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "00951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO AUDIOLOGY LICENSE",
"identifier": "00951",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.