KRISTEN A ROACH (NPI# 1104382910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104382910 |
| Entity Type | Individual |
| Full Name | KRISTEN A ROACH |
| Credential | LPN |
| Practice Address |
636 E 21st St Apt 25 Brooklyn NY 11226-7286 |
| Practice Telephone | 5703505320 |
| Mailing Telephone | 5703505320 |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2019-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 324863-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649520081 | Kristen M Roach | Nurse Practitioner | 1535 Common St, New Braunfels, TX 78130-3154 | 2012-09-13 |
| Street Address |
636 E 21ST ST APT 25 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11226-7286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1528691698 | Lu Ding | Social Worker | 2417 Albemarle Road, Unit 10d, Brooklyn, NY 11226 | 2020-02-18 |
| 1073089348 | Tiina Treasure | Social Worker | 2414 Church Ave, Brooklyn, NY 11226 | 2018-10-15 |
| 1508344490 | Natasha Samantha Hescott | Dietitian, Registered | 261 Lenox Rd Apt 6a, Brooklyn, NY 11226 | 2018-08-01 |
| 1265921977 | Janice Tom-george | Social Worker | 1818 Newkirk Ave Apt 4m, Brooklyn, NY 11226 | 2018-05-08 |
| 1336641299 | Millennia Ruth Lytle | Nutritionist | 135 Clarkson Ave, F8, Brooklyn, NY 11226 | 2018-03-06 |
| 1619495991 | Cassandra Wong | Physician Assistant | 163 Veronica Pl Apt 1r, Brooklyn, NY 11226 | 2017-09-06 |
| 1164940128 | Nz Pharmacy Inc | Pharmacy | 1296 Nostrand Ave, Brooklyn, NY 11226 | 2017-08-30 |
| 1497282412 | Shella St Ima | Licensed Practical Nurse | 45 E 25th St Fl 1, Brooklyn, NY 11226 | 2017-05-22 |
| 1174068209 | Tracey-ann Treadwell | Registered Nurse | 448 East 26th St., Apt 8, Brooklyn, NY 11226 | 2016-12-28 |
| Find all providers in zip 11226 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901456 | Raven Nichole Bagy | Licensed Practical Nurse | 45 Twin Pines Dr Apt 10a, Brooklyn, NY 11239-1804 | 2020-10-26 |
| 1982203998 | Troy Conliffe | Licensed Practical Nurse | 180 E 17th St, Brooklyn, NY 11226-4668 | 2020-10-21 |
| 1588263883 | Kimberley Wiltshire | Licensed Practical Nurse | 1336 President St, Brooklyn, NY 11213-4238 | 2020-10-19 |
| 1053919639 | Elna Remy | Licensed Practical Nurse | 1639 Hendrickson St, Brooklyn, NY 11234-4315 | 2020-10-15 |
| 1518565183 | Tamara Jessica Lawrence | Licensed Practical Nurse | 1482 Lincoln Pl Apt 7, Brooklyn, NY 11213-4137 | 2020-10-15 |
| 1740896414 | Sarahbeth Boyd | Licensed Practical Nurse | 196 Rockaway Pkwy, Brooklyn, NY 11212-3400 | 2020-09-18 |
| 1205441540 | Ademola Ojo-adesoye | Licensed Practical Nurse | 381 Milford St, Brooklyn, NY 11208-3853 | 2020-09-14 |
| 1366057614 | Jacqueline Bourdeau | Licensed Practical Nurse | 2415 Newkirk Ave, Brooklyn, NY 11226-7622 | 2020-09-14 |
| 1194339572 | Elveta Bamberry | Licensed Practical Nurse | 596 E 87th St, Brooklyn, NY 11236-3229 | 2020-09-03 |
| 1508479650 | Ivrance Petigny | Licensed Practical Nurse | 8419 Avenue N, Brooklyn, NY 11236-5109 | 2020-08-28 |
| Find all providers in BROOKLYN | ||||
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| 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.