Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Roth

Individual provider Speech-Language Pathologist · NPI 1396268728

Blake Roth is a Qualified Speech Language Pathologist in Hays, Kansas. Qualified in 2016, 10 years ago. Practices with Fort Hays State University, a 4-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
10
Licensed in
KS
In the registry since
2017
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Practice location Address checks out

600 Park St
Hays, KS 67601-4009
Phone: (785) 628-5366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 4158 (KS)

Record details

NPI number1396268728
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2017
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing address600 Park St, Hays, KS 67601-4009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Fort Hays State University — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hays