SEMONE SABRINA ROACH (NPI# 1114201118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114201118 |
| Entity Type | Individual |
| Full Name | SEMONE SABRINA ROACH |
| Credential | APRN |
| Practice Address |
1162 New Britain Ave West Hartford CT 06110-2410 |
| Practice Telephone | 8602363084 |
| Practice Fax Number | 8605615961 |
| Mailing Telephone | 8602363084 |
| Mailing Fax Number | 8605615961 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2013-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
004767 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008034903 | 05 | |
| CT | OXFORD-UNITED HEALTHCARE | P4428347 | 01 |
| Street Address |
1162 NEW BRITAIN AVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06110-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225492507 | Jessica Urban-jack | Nurse Practitioner | 1162 New Britain Ave, West Hartford, CT 06110-2410 | 2016-04-12 |
| 1427071570 | Chitralaka Ramanan | Pediatrics | 1162 New Britain Ave, West Hartford, CT 06110-2410 | 2006-07-26 |
| 1528089737 | Ishrat Quadri | Pediatrics | 1162 New Britain Ave, West Hartford, CT 06110-2410 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467030 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1500 New Britain Ave, H216, West Hartford, CT 06110 | 2020-05-05 |
| 1962903492 | Mitchell Graham | Chiropractor | 121 Talcott Rd, West Hartford, CT 06110 | 2018-02-21 |
| 1417302829 | Kaitlyn Roggi | Behavioral Analyst | 101 South St Fl 2, West Hartford, CT 06110 | 2016-05-04 |
| 1487036802 | Nino Gigauri | Internal Medicine | 114 Woodlawn St, Hartford, CT 06110 | 2015-06-22 |
| 1093082174 | Shital Makati | Pharmacist | 940 South Quaker Lane, West Hartford, CT 06110 | 2011-11-17 |
| 1376842948 | Kenneth Reeve | Pediatrics | 1459a New Britain Ave, West Hartford, CT 06110 | 2011-03-22 |
| 1225368913 | Jenny Alzate Lpc LLC | Counselor | 78 Cambridge St, West Hartford, CT 06110 | 2010-01-04 |
| 1821200957 | Advocate Community Care Agency, Inc. | Home Delivered Meals | 1086 New Britain Ave, West Hartford, CT 06110 | 2007-05-03 |
| 1730257155 | Catherine Ann Staunton | Physical Therapist | 1350 Chapel Street, New Haven, CT 06110 | 2006-12-01 |
| 1689750002 | Pamela M Matuszewski | Optometrist | 1445 New Britain Ave, W Hartford, CT 06110 | 2006-10-27 |
| Find all providers in zip 06110 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168631 | Evie T Iyamu-osagie | Nurse Practitioner | 345 N Main St Ste 248, West Hartford, CT 06117-2508 | 2019-05-07 |
| 1467780825 | Lisa Marie Canas | Nurse Practitioner | 200 Bloomfield Avenue, Prohealth Physicians Student Health Services, West Hartford, CT 06117 | 2009-11-24 |
| 1043451214 | Warren Pediatrics, LLC | Nurse Practitioner | 81 S Main St Ste 5, West Hartford, CT 06107-2400 | 2009-03-17 |
| 1912108994 | Rachel Mitchell | Nurse Practitioner | 12 N Main St, Suite 110, West Hartford, CT 06107-1932 | 2007-05-29 |
| 1528181088 | Tyler M Stanley | Nurse Practitioner | 970 Farmington Ave, Suite 201, West Hartford, CT 06107-2139 | 2007-04-09 |
| 1801977459 | Susan M Szymaszek | Nurse Practitioner | 81 S Main St, #5, West Hartford, CT 06107-2405 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878855 | Ashley Elusma | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-07-13 |
| 1396382792 | Jessca Morcone | Nurse Practitioner | 640 Brookside Dr, Fairfield, CT 06824-2419 | 2019-12-04 |
| 1790337137 | Elizabeth R Renker | Nurse Practitioner | 97 Barnes Rd Ste 6, Wallingford, CT 06492-1885 | 2019-07-16 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1487180840 | Meghan Mccarthy Warzoha | Nurse Practitioner | 2001 W Main St Ste 132, Stamford, CT 06902-4544 | 2017-05-04 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1740602515 | Smart Start Pediatrics | Nurse Practitioner | 27 Sycamore St., Suite 300, Glastonbury, CT 06033 | 2014-01-14 |
| 1780013102 | Elizabeth Anavy | Nurse Practitioner | 195 Hillandale Ave, Stamford, CT 06902-2823 | 2013-11-06 |
| 1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06110 |
Please comment or provide details below to improve the information on SEMONE SABRINA 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.