MRS. KELLY LEE ROACH (NPI# 1417077223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417077223 |
| Entity Type | Individual |
| Full Name | MRS. KELLY LEE ROACH |
| Credential | LPN |
| Practice Address |
173 W Cedar St Jefferson OH 44047-1380 |
| Practice Telephone | 4405763066 |
| Mailing Telephone | 4405763066 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2009-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN . 109453 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2286253 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689862658 | Kelly Lynn Roach | Physical Therapy Assistant | 3335 Palm Dr Apt 1, Rapid City, SD 57701-2069 | 2007-10-04 |
| 1811498579 | Kelly Renee Roach | Registered Nurse | 5108 Sandy Ln, Fairfield, OH 45014 | 2018-02-27 |
| 1255540167 | Kelly Roach | Physical Therapy Assistant | 735 Putnam Pike, Greenville, RI 02828-1435 | 2007-05-21 |
| 1366651861 | Kelly M Roach | Physical Therapist | 2535 Lone Star Dr, Dallas, TX 75212-6313 | 2007-05-21 |
| Street Address |
173 W CEDAR ST |
| City | JEFFERSON |
| State | OH |
| Zip Code | 44047-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386043669 | Kathleen Susan Crim | Occupational Therapist | 42 South Chestnut Street, Jefferson Rehab and Wellness, Jefferson, OH 44047 | 2014-08-22 |
| 1215369897 | Kristy R Walker | Licensed Practical Nurse | 1811 South Denmark Rd, Jefferson, OH 44047 | 2013-08-06 |
| 1881824696 | Sharon K Cattell | Licensed Practical Nurse | 1152rt307west, Jefferson, OH 44047 | 2009-07-15 |
| 1003041864 | Deborah K. Franley | Family Medicine | 158 W. Jefferson St, Jefferson, OH 44047 | 2009-05-22 |
| 1184836751 | Cheryl Riggleman | Home Health Aide | 2902 Griggs Road, Jefferson, OH 44047 | 2007-05-04 |
| 1740341171 | Margaret Mary Hamper | Registered Nurse | 1507 Lenox New Lyme Rd, Jefferson, OH 44047 | 2006-12-12 |
| 1700963220 | Christopher R E Phillips | Dentist | 78 N Chestnut St, Jefferson, OH 44047 | 2006-11-01 |
| 1912074410 | Donald M Burkholder | Dentist | 78 N Chestnut St, Jefferson, OH 44047 | 2006-11-29 |
| 1205913738 | Casey J Hammond | Dentist | 78 N Chestnut St, Jefferson, OH 44047 | 2006-11-01 |
| 1518099852 | Gregory M. Ray | Chiropractor | 24 W Pine St, Jefferson, OH 44047-1022 | 2007-03-12 |
| Find all providers in zip 44047 | ||||
| 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 |
|---|---|---|---|---|
| 1740804913 | Anna E Warzala | Licensed Practical Nurse | Sunset Ridge Jefferson, 826 E. Reinel Street, Jefferson, Wi 53549, Jefferson, WI 53549 | 2020-06-03 |
| 1902343213 | Jessica Brass | Licensed Practical Nurse | 2531 Forman Rd, Jefferson, OH 44047-9750 | 2017-01-24 |
| 1457800658 | Jessica Lynn Barnum | Licensed Practical Nurse | 1812 March Road Ext, Jefferson, OH 44047-9475 | 2016-09-28 |
| 1811340995 | Brianna Badza | Licensed Practical Nurse | 601 W Beech St, Jefferson, OH 44047-1053 | 2016-07-13 |
| 1851793889 | Tiffany Marie Chambers | Licensed Practical Nurse | 185 Garfield Ln, Jefferson, OH 44047-1060 | 2014-09-22 |
| 1609290238 | Kristin Falke | Licensed Practical Nurse | 1032 Perry Rd, Jefferson, OH 44047-9761 | 2014-02-18 |
| 1063847697 | Christina Ann Shadow | Licensed Practical Nurse | 158 W Monroe Cir, Jefferson, OH 44047-1080 | 2013-09-13 |
| 1972937449 | Jamie Lynn Doritty | Licensed Practical Nurse | 34 N Market St Apt 1, Jefferson, OH 44047-1132 | 2013-09-03 |
| 1215369897 | Kristy R Walker | Licensed Practical Nurse | 1811 South Denmark Rd, Jefferson, OH 44047 | 2013-08-06 |
| 1841639952 | Debra Lee Schoenike | Licensed Practical Nurse | 610 S Main Street, Jefferson, WI 53549 | 2013-06-21 |
| Find all providers in JEFFERSON | ||||
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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.