Individual provider Active NPI

Roxanne Rodebush, M.S. CCC

  • Speech-Language Pathologist
  • Tulsa, OK
National Provider Identifier
1902128242
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3456 Issued in OK
Practice address
3027 S New Haven Ave
Tulsa, OK 74114-6131
Phone
(918) 406-5601
NPI assigned
Feb 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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 3456 OK Primary

Addresses

Primary practice location

3027 S New Haven Ave
Tulsa, OK 74114-6131

Mailing address

3027 S New Haven Ave
Tulsa, OK 74114-6131
Phone (918) 406-5601

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1902128242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 S NEW HAVEN AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146131",
            "telephone_number": "918-406-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 S NEW HAVEN AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146131",
            "telephone_number": "918-406-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEBUSH",
        "first_name": "ROXANNE",
        "credential": "M.S. CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.