MARY KATHLEEN ROACH (NPI# 1053801779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053801779 |
| Entity Type | Individual |
| Full Name | MARY KATHLEEN ROACH |
| Credential | DNP |
| Practice Address |
200 E Chestnut St Louisville KY 40202-1831 |
| Mailing Address |
2209 Lancashire Ave Louisville KY 40205-3037 |
| Practice Telephone | 5026298000 |
| Mailing Telephone | 5028365536 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
3012265 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417465311 | Mary Antoinettee Roach | Pharmacist | 12001 Autumnwood Ln, Fort Washington, MD 20744-6065 | 2018-01-14 |
| 1437281375 | Mary Susan Roach | Nurse Practitioner | 703 N. 1st Street, Mccall, ID 83638-3851 | 2007-03-09 |
| 1558378521 | Mary Roach | Nurse Practitioner | 2211 Lomas Blvd, Ne, Unm Hospitals, Albuquerque, NM 87106 | 2006-08-02 |
| 1447723978 | Mary Theresa Roach | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-01-08 |
| Street Address |
200 E CHESTNUT ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456384 | Sanford Todd Reikes | Internal Medicine | 200 E Chestnut St, Louisville, KY 40202-1831 | 2005-06-09 |
| 1245845163 | Morgan Daffin | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-09-09 |
| 1053934612 | Kayla N Larosa | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-05-18 |
| 1013548973 | Kentucky Ob Hospitalist Services Inc | Obstetrics & Gynecology | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-01-30 |
| 1003451774 | Elizabeth Turcotte | Nurse Practitioner | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-11-16 |
| 1972145332 | Brenn Philip Arbra | Registered Nurse | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-10-17 |
| 1417599200 | Candice Elaine Bacon | Registered Nurse | 200 E Chestnut St, Louisville, KY 40202-1800 | 2019-10-13 |
| 1518510965 | Katrina Mcneal | Nurse Practitioner | 200 E Chestnut St, Louisville, KY 40202-1800 | 2019-07-24 |
| 1013569102 | Hannah Harris | Physician Assistant | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-07-10 |
| 1932768710 | Jasmina Keserovic | Nurse Anesthetist, Certified Registered | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329959 | Margaret Taylor Stevenson | Nurse Practitioner | 9302 Villa Fair Ct, Louisville, KY 40291-1493 | 2020-02-27 |
| 1710469994 | Edumedics | Nurse Practitioner | 201 E Jefferson St., Ste 102, Louisville, KY 40202 | 2018-09-04 |
| 1316312630 | Julianne Evers | Nurse Practitioner | 200 Chestnut Street, Louisville, KY 40202 | 2015-12-11 |
| 1194198606 | Javier Rodriguez | Nurse Practitioner | 2523 Wendell Ave, Louisville, KY 40205-3011 | 2015-11-05 |
| 1285067827 | Stephanie Jo Ford | Nurse Practitioner | 550 S. Jackson Street, Department of Pulmonary Disease, Louisville, KY 40202 | 2013-08-19 |
| 1093916900 | Judi Lynn Kuric | Nurse Practitioner | 4001 Kresge Way Ste 238, Louisville, KY 40207-4640 | 2007-05-29 |
| 1346233970 | Kimberly S Meyer | Nurse Practitioner | 220 Abraham Flexner Way # 1200, Louisville, KY 40202-3826 | 2005-08-30 |
| 1881292548 | Elizabeth Ann Blandford | Nurse Practitioner | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-15 |
| 1275147530 | Sarah Elizabeth Holloway | Nurse Practitioner | 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241-2847 | 2020-09-03 |
| 1659989226 | Jennifer Leigh Austin | Nurse Practitioner | 3 Audubon Plaza Dr Ste 560, Louisville, KY 40217-1376 | 2020-07-20 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on MARY KATHLEEN 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.