MRS. PAULA BETH ROACH (NPI# 1003889965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003889965 |
| Entity Type | Individual |
| Full Name | MRS. PAULA BETH ROACH |
| Credential | RN CNNP |
| Practice Address |
Bldg 4-2817 Reilly Road Fort Bragg NC 28310-0001 |
| Mailing Address |
4304 Cricklewood St Lumberton NC 28358-2405 |
| Practice Telephone | 9109077626 |
| Practice Fax Number | 9109078645 |
| Mailing Telephone | 9106719289 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
930054 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
BLDG 4-2817 REILLY ROAD |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710950340 | Elizabeth Jane Lawrence | Nurse Practitioner | Bldg 4-2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710950340 | Elizabeth Jane Lawrence | Nurse Practitioner | Bldg 4-2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841689056 | Sarah Mears | Nurse Practitioner | 5016 Big Creek Rd, Raleigh, NC 27613-6176 | 2015-01-13 |
| 1194067892 | Kimberly Dawn Nail | Nurse Practitioner | 101 Manning Drive, Cb# 7596, Room N4051, Chapel Hill, NC 27599-7596 | 2013-03-20 |
| 1376813881 | Catherine Simmons | Nurse Practitioner | 5524 Erwin Road Hospital N Box 100500, Durham, NC 27710-0001 | 2011-12-31 |
| 1326317686 | Monica Koch Jakubowski | Nurse Practitioner | 5524 Duke Hospital N, Box 100500, Durham, NC 27710-0001 | 2011-12-15 |
| 1891943973 | Kay Elaine Timbreza | Nurse Practitioner | 1126 Garden Club Way, Leland, NC 28451-4133 | 2008-09-03 |
| 1962659201 | Amy Liverman Williford | Nurse Practitioner | 2100 Statonsburg Road, Greenville, NC 27834 | 2008-08-19 |
| 1275146417 | Kristi Lynn Dixon | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-27 |
| 1083226062 | Jamie Tyo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-20 |
| 1295343515 | Lauren Michelle Hughes | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-07-22 |
| 1548886849 | Stephanie Dawn Chambers | Nurse Practitioner | 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
Please comment or provide details below to improve the information on MRS. PAULA BETH ROACH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.