SUSAN M ROCHE (NPI# 1629117197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629117197 |
| Entity Type | Individual |
| Full Name | SUSAN M ROCHE |
| Credential | CRNP |
| Practice Address |
2500 W 12th St Erie PA 16505-4508 |
| Practice Telephone | 8148389000 |
| Mailing Telephone | 8148389000 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WX0200X |
Registered Nurse Specialization: Oncology |
RN224580L | PA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | VP003651C | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 002105227 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104237247 | Susan Roche | Nurse Practitioner | 16939 Sw 134th Ave, Archer, FL 32618-5413 | 2014-05-12 |
| 1679780670 | Susan Roche | Dentist | 11092 Anderson Street, Loma Linda, CA 92354 | 2007-05-17 |
| 1457405961 | Susan Wood Roche | Registered Nurse | 2400 S Flower St, Los Angeles, CA 90007-2629 | 2007-01-22 |
| Street Address |
2500 W 12TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780245 | Holly Elizabeth Skala | Physician Assistant | 2500 W 12th St, Erie, PA 16505-4508 | 2005-06-20 |
| 1023553203 | Christina Peterson | Nurse Practitioner | 2500 W 12th St, Erie, PA 16505-4500 | 2016-12-27 |
| 1720530710 | Susan Roberta Marshall-erven | Nurse Practitioner | 2500 W 12th St, Erie, PA 16505-4500 | 2016-10-26 |
| 1720535198 | Sharon Burgert | Specialist | 2500 W 12th St, Erie, PA 16505-4500 | 2016-09-02 |
| 1114329513 | Morgan Hilinski | Physician Assistant | 2500 W 12th St, Erie, PA 16505-4500 | 2014-09-17 |
| 1083952055 | Kaitlyn Mackey | Physician Assistant | 2500 W 12th St, Erie, PA 16505-4500 | 2013-01-24 |
| 1659567006 | Emily Lynn Hesch | Physician Assistant | 2500 W 12th St, Erie, PA 16505-4508 | 2007-09-19 |
| 1568655504 | The Regional Cancer Center | Pharmacy | 2500 W 12th St, Erie, PA 16505-4508 | 2007-08-23 |
| 1417140450 | The Regional Cancer Center | Clinical Medical Laboratory | 2500 W 12th St, Erie, PA 16505-4508 | 2007-08-23 |
| 1205859816 | Jongming Li | Internal Medicine | 2500 W 12th St, Erie, PA 16505-4508 | 2006-07-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780127027 | Dustin T Schumacher | Nurse Practitioner | 100 Peach St Ste 201, Erie, PA 16507-1423 | 2016-11-18 |
| 1316499973 | Angel F Sunafrank | Nurse Practitioner | 300 State St Ste 400a, Erie, PA 16507-1478 | 2016-10-31 |
| 1750670006 | Therese Raymonde Christiansen | Nurse Practitioner | 333 State St Ste 400a, Erie, PA 16507-1450 | 2011-04-06 |
| 1679806616 | Laura Jane Merriott | Nurse Practitioner | 4402 Peach St., Suite 302, Erie, PA 16509 | 2009-09-09 |
| 1902046501 | Denise Joanne Pero | Nurse Practitioner | 271 Edgewater Cir, Erie, PA 16509-3785 | 2009-02-23 |
| 1295917177 | Kathy S Foltz | Nurse Practitioner | 1843 East 18th Street, Multicultural Health Evaluation Delivery Systems Inc, Erie, PA 16510 | 2007-12-03 |
| 1598715849 | Carol A Hager | Nurse Practitioner | 300 State St Ste 107, Erie, PA 16507-1428 | 2006-05-10 |
| 1639139645 | Mary Alice Mcginnis | Nurse Practitioner | 1700 Peach St Ste 200, Erie, PA 16501-2134 | 2006-03-24 |
| 1720069206 | Paul J Dill | Nurse Practitioner | 1910 Sassafras St Ste 200, Erie, PA 16502-2716 | 2005-11-10 |
| 1053304998 | Mary Kathleen Ditullio | Nurse Practitioner | 17 Merline Ave, Erie, PA 16509-1567 | 2005-08-25 |
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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.