Active NPI
Roniesha Roberts, MS, CCC-SLP
- Speech-Language Pathologist
- Holly Springs, MS
National Provider Identifier
1992293815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 277 Cuba St
Holly Springs, MS 38635-2102 - Phone
- (662) 291-0031
- NPI assigned
- Apr 26, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TN | Primary |
Addresses
Primary practice location
277 Cuba St
Holly Springs, MS 38635-2102
Mailing address
277 Cuba St
Holly Springs, MS 38635-2102
Phone (662) 291-0031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121854201 | Other | TN | DRIVERS 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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LTC Solutions | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- Holly Springs, MS
- NPI 1952673162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1992293815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 CUBA ST",
"city": "HOLLY SPRINGS",
"state": "MS",
"postal_code": "386352102",
"telephone_number": "662-291-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 CUBA ST",
"city": "HOLLY SPRINGS",
"state": "MS",
"postal_code": "386352102",
"telephone_number": "662-291-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "RONIESHA",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-26",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "121854201",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holly Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.