MICHELLE L ROARK (NPI# 1164863262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164863262 |
| Entity Type | Individual |
| Full Name | MICHELLE L ROARK |
| Credential | CNM |
| Practice Address |
905c S Frontage Rd Meridian MS 39301-6113 |
| Mailing Address |
Po Box 5208 Meridian MS 39302-5208 |
| Practice Telephone | 6014864210 |
| Practice Fax Number | 6014824219 |
| Mailing Telephone | 6014864210 |
| Mailing Fax Number | 6014864219 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2014-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | A810516 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08106745 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427182492 | Michelle L Roark | Nurse Practitioner | 3322 Melrose Rd, Fayetteville, NC 28304-1604 | 2007-03-14 |
| Street Address |
905C S FRONTAGE RD |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-6113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568444024 | Linda I. Mclendon | Advanced Practice Midwife | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2005-11-18 |
| 1528685997 | Susie Mao | Family Medicine | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| 1235756602 | Bailey Strope | Family Medicine | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| 1780201152 | Urooj Shahid | Family Medicine | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| 1124645593 | Jisun Kang | Family Medicine | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| 1851918221 | Jose Menendez | Family Medicine | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| 1225690100 | Jennifer Joy Geiger | Family Medicine | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2019-07-01 |
| 1124680004 | William Lee Brown Iv | Family Medicine | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2019-07-01 |
| 1114589090 | Elena Louie | Family Medicine | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2019-07-01 |
| 1932761814 | Minh Pham | Family Medicine | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134406143 | Brittany Hiller | Midwife | 1844 W Glade Creek St, Meridian, ID 83646-4310 | 2011-11-05 |
| 1861777005 | Michelle Marie Spurlock | Midwife | 3313 W Cherry Ln, #405, Meridian, ID 83642-1119 | 2011-10-19 |
| 1487980108 | Donna Zenobia Holmes | Midwife | 1935 W Boulder Bar Dr, Meridian, ID 83646 | 2009-10-30 |
| 1245377357 | Coleen M. Goodwin | Midwife | 270 N Linder Rd, Meridian, ID 83642-2437 | 2007-01-30 |
| 1134761216 | Samantha J Nuxoll | Midwife | 270 N Linder Rd, Meridian, ID 83642-2437 | 2019-10-10 |
| 1922662121 | Hannah Elizabeth Ritner | Midwife | 1844 W Glade Creek St, Meridian, ID 83646-4310 | 2019-04-24 |
| 1598262834 | Sherene Lynnell Broome | Midwife | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2018-04-12 |
| 1790207702 | Shelley Courtney | Midwife | 905c S Frontage Rd, Meridian, MS 39301 | 2017-07-11 |
| 1053702761 | Kathleen Ellen Hill | Midwife | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2015-02-17 |
| 1003206194 | Sarah Warner | Midwife | 270 N Linder Rd, Meridian, ID 83642-2437 | 2015-01-28 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on MICHELLE L ROARK.
| 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.