KYRA ROOF (NPI# 1336657592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336657592 |
| Entity Type | Individual |
| Full Name | KYRA ROOF |
| Other Name | KYRA NIXON |
| Credential | LPN |
| Practice Address |
15 S 9th St Lebanon PA 17042-5104 |
| Mailing Address |
410 N Prince St Lancaster PA 17603-3010 |
| Practice Telephone | 7172735992 |
| Practice Fax Number | 7172735995 |
| Mailing Telephone | 7175607917 |
| Mailing Fax Number | 7175606452 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN298202 | PA | Nursing Service Providers |
| Street Address |
15 S 9TH ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396808531 | Dale K Horst | Psychologist | 15 S 9th St, Lebanon, PA 17042-5104 | 2006-12-19 |
| 1780218008 | Dana Gil | Behavioral Analyst | 15 S 9th St, Lebanon, PA 17042-5104 | 2020-02-25 |
| 1063045185 | Catharine Morales | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2020-02-17 |
| 1114563848 | Ruth A Snyder | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2019-11-18 |
| 1376003319 | Mitzie Jazmin Baez | Marriage & Family Therapist | 15 S 9th St, Lebanon, PA 17042-5104 | 2019-03-25 |
| 1730647561 | Jacqueline Anne Hornickell | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2019-03-11 |
| 1912489550 | Qiana Devani Hill | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2018-08-30 |
| 1073041521 | Erin Callihan | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2017-05-29 |
| 1336699503 | Kim Elaine Miller | Counselor | 15 S 9th St, Lebanon, PA 17042-5104 | 2016-10-11 |
| 1548629876 | Angela M Keller | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| 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 |
|---|---|---|---|---|
| 1235502295 | Keena Samples | Licensed Practical Nurse | 20 North Ln, Lebanon, OH 45036-1861 | 2015-11-12 |
| 1285032094 | Patricia Brandon | Licensed Practical Nurse | 3588 Mary Ann Dr, Lebanon, OH 45036-1001 | 2014-12-10 |
| 1407253164 | Catherine Marquez | Licensed Practical Nurse | 436 Jones St, Lebanon, PA 17046-4670 | 2014-11-24 |
| 1710307566 | Andrew Crowden | Licensed Practical Nurse | 169 Summit St, Lebanon, OH 45036-1943 | 2014-04-21 |
| 1104249796 | Melanie K Harding | Licensed Practical Nurse | 489 La Luz Blvd Apt 217, Lebanon, OH 45036-1871 | 2014-02-02 |
| 1235570144 | Loretta C Zierden | Licensed Practical Nurse | 1053-84 Hunters Run Road, Lebanon, OH 45036-8446 | 2013-07-09 |
| 1578907309 | Kristen M Leedy | Licensed Practical Nurse | 770 Oleander Ct, Lebanon, OH 45036-9099 | 2013-04-23 |
| 1205279601 | Amanda Nicole Smith | Licensed Practical Nurse | 485 Wagon Wheel Dr, Lebanon, OR 97355-3745 | 2013-04-16 |
| 1508108606 | Rebecca Smith | Licensed Practical Nurse | 1030 Hunters Run Dr, Apt 25, Lebanon, OH 45036-9191 | 2013-03-27 |
| 1275872301 | Carrie Lynn Lewis | Licensed Practical Nurse | 309 Jameson Ln, Lebanon, OH 45036-1903 | 2013-02-09 |
| Find all providers in LEBANON | ||||
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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.