TERESA A ROATSEY (NPI# 1164493037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164493037 |
| Entity Type | Individual |
| Full Name | TERESA A ROATSEY |
| Credential | NP |
| Practice Address |
103 North St Bristol VA 24201-3201 |
| Mailing Address |
999 Executive Park Blvd Suite 201 Kingsport TN 37660-4632 |
| Practice Telephone | 4238446000 |
| Practice Fax Number | 4238445090 |
| Mailing Telephone | 4232243250 |
| Mailing Fax Number | 4232243258 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2011-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
15338 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024166108 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100056990 | 05 |
| Street Address |
103 NORTH ST |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265904296 | Alicia Nicole Boyd | Nurse Practitioner | 103 North St, Bristol, VA 24201-3201 | 2019-01-02 |
| 1548700362 | Mesa Smith | Occupational Therapist | 103 North St, Bristol, VA 24201-3201 | 2017-02-27 |
| 1659780047 | East Coast Pm&r Consultants Pllc | Physical Medicine & Rehabilitation | 103 North St, Bristol, VA 24201 | 2014-08-11 |
| 1003230475 | Lauren Ashley Fullen | Speech-Language Pathologist | 103 North St, Bristol, VA 24201-3201 | 2014-02-06 |
| 1114251972 | Rehabilitation Hospital of Bristol, LLC | Rehabilitation Hospital | 103 North St, Bristol, VA 24201-3201 | 2009-09-28 |
| 1316187974 | April E Akers | Case Manager/Care Coordinator | 103 North St, Bristol, VA 24201-3201 | 2009-02-23 |
| 1881716546 | Ada Maria Hernandez | Case Manager/Care Coordinator | 103 North St, Bristol, VA 24201-3201 | 2007-04-04 |
| 1306966486 | Melissa Gent Cox | Social Worker | 103 North St, Bristol, VA 24201-3201 | 2007-03-30 |
| 1891703815 | Tonya Renee Coleman | Speech-Language Pathologist | 103 North St, Suite B Bristol Regional Speech & Hearing Center, Bristol, VA 24201-3201 | 2006-08-04 |
| 1174531180 | Samantha Ratliff Wampler | Speech-Language Pathologist | 103 North St, Suite B Bristol Regional Speech & Hearing Center, Bristol, VA 24201-3201 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1124633581 | Kristen L Viars | Nurse Practitioner | 501 Garden Ln, Bristol, VA 24201-1512 | 2020-09-12 |
| 1780295071 | Leslie Berryman | Nurse Practitioner | 901 Hill St, Bristol, TN 37620-2141 | 2020-08-11 |
| 1972134021 | Shonna Morenings | Nurse Practitioner | 200 Richmond Heights Rd, Bristol, TN 37620-6612 | 2020-01-28 |
| 1891347936 | Brittney O'hara | Nurse Practitioner | 350 Steeles Rd Ste 2, Bristol, TN 37620-9532 | 2019-07-09 |
| 1518524628 | Constance K Siekierski | Nurse Practitioner | 17 Platt St, Bristol, RI 02809-4317 | 2019-05-23 |
| 1477014827 | Mary Beth Foran | Nurse Practitioner | 1135 Columbia Rd, Bristol, TN 37620-4421 | 2019-03-28 |
| 1932663580 | Dana Lynn Mcdonnell | Nurse Practitioner | 415 Hart St, Bristol, CT 06010-2393 | 2019-01-29 |
| 1215405352 | Linda Carol Holmes | Nurse Practitioner | 1 Monarch Dr, Bristol, VA 24201-3138 | 2018-11-07 |
| 1922521608 | Connie A Bronson | Nurse Practitioner | 55020 Colonial Ridge Dr, Bristol, IN 46507-8901 | 2017-07-25 |
| Find all providers in BRISTOL | ||||
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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.