NICOLA ROACH (NPI# 1205477171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205477171 |
| Entity Type | Individual |
| Full Name | NICOLA ROACH |
| Practice Address |
1012 Brookstown Ave Winston Salem NC 27101-2523 |
| Practice Telephone | 3365755601 |
| Mailing Telephone | 3365755601 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7469 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1012 BROOKSTOWN AVE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754136 | Sixth Sense Wellness Group Inc. | Acupuncturist | 1012 Brookstown Ave, Winston Salem, NC 27101-2523 | 2018-09-20 |
| 1215493036 | Ashley Taylor | Acupuncturist | 1012 Brookstown Ave, Winston Salem, NC 27101-2523 | 2019-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047633 | Andrew Brandon Duggins | Massage Therapist | 4020 Yarbrough Ave, Winston Salem, NC 27106-1642 | 2020-09-12 |
| 1659985869 | Christiana Elisa Owens | Massage Therapist | 152 Surtees Rd, Winston Salem, NC 27104-2635 | 2020-09-04 |
| 1083235519 | Elizabeth Ashley Holdren | Massage Therapist | 1020 Brookstown Ave Ste 11, Winston Salem, NC 27101-2539 | 2020-05-06 |
| 1356974778 | Brent W Deskins | Massage Therapist | 2800 Hermitage Dr, Winston Salem, NC 27103-4206 | 2020-02-13 |
| 1083252662 | Amy Lyn Bofenkamp | Massage Therapist | 517 Brookridge Dr, Winston Salem, NC 27103-6104 | 2019-12-14 |
| 1659930014 | Nathifa Campbell | Massage Therapist | 1008 Brookstown Ave Ste C7, Winston Salem, NC 27101-2562 | 2019-06-10 |
| 1548789480 | Curtis Ebray Edmunds Jr. | Massage Therapist | 2714 Henning Dr Ste 1, Winston Salem, NC 27106-4502 | 2017-09-12 |
| 1770026247 | Nicole Mccollum | Massage Therapist | 5565 Gyddie Dr, Winston Salem, NC 27105-9606 | 2016-11-30 |
| 1649571043 | Jessica Graf | Massage Therapist | 614 S Hawthorne Rd, Winston Salem, NC 27103-3718 | 2010-11-16 |
| 1407047517 | Thomas Michael Joyce Jr. | Massage Therapist | 217 Olde Vineyard Ct, Winston Salem, NC 27104-4932 | 2007-08-05 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
Please comment or provide details below to improve the information on NICOLA 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.