Active NPI
Rose Beth Bryan, M.A., CCC-SLP
- Speech-Language Pathologist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 119420
- Practice address
- 1515 Holcombe Blvd
Houston, TX 77030-4000 - Phone
- (713) 703-5583
- NPI assigned
- Oct 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 006774 | CT | |
| Speech-Language Pathologist | 235Z00000X | 119420 | TX | Primary |
Addresses
Primary practice location
1515 Holcombe Blvd
Houston, TX 77030-4000
Mailing address
10411 Sill Prairie Dr
Rosharon, TX 77583-1663
Phone (734) 883-9355
Other practice location 1
71 Haynes St
Manchester, CT 06040-4188
Phone (860) 646-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
295 Phalen Blvd
Saint Paul, MN 55130-2400
Phone (651) 495-6200
401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7700
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-8080
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-2164
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006774 | CT | MD | Dental Hygienist |
| 119420 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regions Hospital | Current | Accepting new patients | |
| Regions Hospital | Current | Accepting new patients |
Locations
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
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.
-
- Emergency Medicine Physician
- Saint Paul, MN
- NPI 1154359917
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662768000000",
"number": "1891458816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10411 SILL PRAIRIE DR",
"city": "ROSHARON",
"state": "TX",
"postal_code": "775831663",
"telephone_number": "734-883-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304000",
"telephone_number": "713-703-5583"
}
],
"practiceLocations": [
{
"address_1": "71 Haynes St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "CT",
"postal_code": "060404188",
"country_code": "US",
"telephone_number": "860-646-1222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYAN",
"first_name": "ROSE",
"middle_name": "BETH",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-17",
"last_updated": "2022-09-10",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "006774",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "119420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; 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.