MRS. CARMEN M. ROAQUIN (NPI# 1255514196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255514196 |
| Entity Type | Individual |
| Full Name | MRS. CARMEN M. ROAQUIN |
| Credential | FNP-C |
| Practice Address |
3600 High St Portsmouth VA 23707-3236 |
| Practice Telephone | 7572153101 |
| Mailing Telephone | 7572153101 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
0017139043 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | FNP LICENSE | 0024167622 | 01 |
| Street Address |
3600 HIGH ST |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23707-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780081018 | Amanda Michelle Northern | Nurse Practitioner | 3600 High St, Portsmouth, VA 23707-3236 | 2014-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
| 1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
| Find all providers in zip 23707 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
| 1982143343 | Emily Floode | Clinical Nurse Specialist | 8327 Terra Grande Ave, Springfield, VA 22153-3516 | 2017-02-17 |
| 1801271440 | Sara B Lark | Clinical Nurse Specialist | 111 Fashion Rd Ste D, Pounding Mill, VA 24637-1200 | 2015-07-24 |
| 1225220411 | Mary Jo Lawrence | Clinical Nurse Specialist | 10696 Crestwood Dr Ste B, Manassas, VA 20109-4411 | 2007-08-13 |
| 1871071522 | Laszlo Vecsei | Clinical Nurse Specialist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-08-04 |
| 1487046702 | Rebecca Bulman | Clinical Nurse Specialist | 4510 Plank Rd, Ste 200, Fredericksburg, VA 22407-0138 | 2015-02-24 |
| 1629406996 | Family Care Center | Clinical Nurse Specialist | 1109 Plaza Dr, Grundy, VA 24614-6780 | 2013-10-24 |
| City | PORTSMOUTH |
| Zip Code | 23707 |
Please comment or provide details below to improve the information on MRS. CARMEN M. ROAQUIN.
| 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.