Simply Rooted Speech & Wellness LLC
NPI 1265153761ActiveOrganization· Speech-Language Pathologist· Mesa, AZ
Speech-Language Pathologist in Mesa, Arizona, registered in NPPES in September 2022. The authorized official on file is Heather Main, Administrator, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265153761 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 5, 2022 |
| Last updated in NPPES | Jul 9, 2024 |
| Certified by provider | Jul 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
| Nutritionist | 133N00000X | — | — |
| Dietitian, Registered | 133V00000X | — | — |
| Specialist/Technologist, Speech-Language Assistant | 2355S0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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