ABBY ROACH (NPI# 1245704436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245704436 |
| Entity Type | Individual |
| Full Name | ABBY ROACH |
| Practice Address |
207d Colegate Dr Marietta OH 45750-2363 |
| Practice Telephone | 7403760930 |
| Mailing Telephone | 7403760930 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083087787 | Abby Leigh Roach | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2015-11-04 |
| Street Address |
207D COLEGATE DR |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366479784 | Lisa Kaye La Du | Social Worker | 207d Colegate Dr, Marietta, OH 45750 | 2006-06-28 |
| 1134727696 | Julie Nicole Polcyn | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-10-15 |
| 1285232017 | Madison F Anderson | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-10-14 |
| 1144835232 | Haley N Vanoster | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-09-15 |
| 1568075414 | Olivia A Ashcraft | Counselor | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-08-28 |
| 1114530169 | Alexandria R Westfall | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-08-28 |
| 1497372080 | Trisha Leigh Bail | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-29 |
| 1003433939 | Erin S Godfrey | Counselor | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-26 |
| 1942826854 | Philip L Tice | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-17 |
| 1982228326 | Brady Ohrn | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311858 | Brandi K Beaver | Peer Specialist | 331 E Spring St, Marietta, OH 45750-2439 | 2020-06-24 |
| 1043836059 | Kelly Annelle Workman | Peer Specialist | 418 Colegate Dr, Marietta, OH 45750-9549 | 2020-06-25 |
| 1235758319 | Garrett Nunn | Peer Specialist | 27750 State Route 7, Marietta, OH 45750-5147 | 2020-04-09 |
| 1215561659 | Rodney Romey | Peer Specialist | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-02-25 |
| 1437790458 | Jovonnah Burns | Peer Specialist | 207d Colegate Dr, Marietta, OH 45750-2363 | 2019-10-01 |
| 1922582469 | Michelle Renae Dennis | Peer Specialist | 418 Colegate Dr, Marietta, OH 45750-9549 | 2018-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
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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.