JULIE L ROACH


Address: 300 1st Capitol Dr, Saint Charles, MO 63301-2844
Phone: 3149893000

JULIE L ROACH (NPI# 1023009545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023009545
Entity Type Individual
Full Name JULIE L ROACH
Credential CRNA
Practice Address 300 1st Capitol Dr
Saint Charles
MO 63301-2844
Mailing Address 13523 Barrett Parkway Dr
Suite 210
Ballwin
MO 63021-3802
Practice Telephone 3149893000
Mailing Telephone 3147752816
Mailing Fax Number 3147752821
Enumeration Date 2005-11-03
Last Update Date 2008-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 119638 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO RR MEDICARE P00178510 01
MO 916778954 05

Office Location

Street Address 300 1ST CAPITOL DR
City SAINT CHARLES
State MO
Zip Code 63301-2844

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447256649 Barbara A Holt Nurse Anesthetist, Certified Registered 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2005-06-22
1578162731 Madeline Margaret Litschgi Dietitian, Registered 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2020-10-20
1841816469 Jason M Falcone Nurse Anesthetist, Certified Registered 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2020-06-19
1477179042 Thomas Watson Nurse Anesthetist, Certified Registered 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2020-06-19
1477108892 Cep America LLC Emergency Medicine 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2019-08-02
1841855335 Gladys Waturi Gitau Nurse Practitioner 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2019-05-09
1689139842 Marcus Earl Woodson Social Worker 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2019-02-01
1750845657 Jennifer Rushing Pharmacist 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2019-01-24
1376028530 Anastasia Norville Counselor 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2018-10-03
1487132015 Ssm Health Care Corporation Counselor 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2018-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376189910 Kelsey Fix Occupational Therapist 3228 Silvertrail Dr, Saint Charles, MO 63301 2019-11-19
1063056307 Compass Health, Inc. Clinic/Center 3075 New Town Blvd, Saint Charles, MO 63301 2019-10-30
1558921361 Next Steps Therapy & Coaching, LLC Clinic/Center 1040 Fairgrounds Road, St. Charles, MO 63301 2019-06-14
1093297426 Delia Smith Specialist/Technologist 209 S Kingshighway, St. Charles, MO 63301 2018-09-01
1285136754 Helping Hand Home Healthcare, LLC Home Health 1360 S 5th Street, Suite 278, Saint Charles, MO 63301 2018-03-01
1972043107 Robert Christopher Loynd Otolaryngology 301 N. 2nd Street, St. Charles, MO 63301 2017-03-07
1457807067 Angela Thro Occupational Therapist 3489 Boschertown Road, Saint Charles, MO 63301 2016-09-01
1487060570 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2100 1st Capitol Dr, St. Charles, MO 63301 2014-07-09
1114337102 Nucrown,inc. Optometrist 1910 First Capital Drive, St. Charles, MO 63301 2014-04-30
1780922476 Kristen James Counselor 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 2013-01-30
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184027690 Abby Elizabeth Hoyer Nurse Anesthetist, Certified Registered 1214 Lake Ct, Saint Charles, MO 63303-2738 2014-09-29
1609219922 Felister N Mwangi Nurse Anesthetist, Certified Registered 1104 Pierpoint Ln, Saint Charles, MO 63303-4803 2013-04-17
1851343123 Stephen P Fernau Nurse Anesthetist, Certified Registered 39w360 Cambridge Ct, Saint Charles, IL 60175-6706 2006-05-16
1992753446 Nancy H Ganschinietz Nurse Anesthetist, Certified Registered 415 Willow Wood Ct, Saint Charles, MO 63303-6522 2006-05-05
1447256649 Barbara A Holt Nurse Anesthetist, Certified Registered 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2005-06-22
1841816469 Jason M Falcone Nurse Anesthetist, Certified Registered 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2020-06-19
1477179042 Thomas Watson Nurse Anesthetist, Certified Registered 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2020-06-19
1598252603 Joy Nicole Hoermann Nurse Anesthetist, Certified Registered 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2018-04-16
1710374020 Lindsay Frank Nurse Anesthetist, Certified Registered 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2015-04-24
1114314424 Courtney Henderson Nurse Anesthetist, Certified Registered 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2015-04-24
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City SAINT CHARLES
Zip Code 63301

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Dataset Information

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.

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