KELLY ROARK (NPI# 1255996732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255996732 |
| Entity Type | Individual |
| Full Name | KELLY ROARK |
| Credential | FNP |
| Practice Address |
20 Alpine Dr Batesville IN 47006-8477 |
| Mailing Address |
15923 State Road 156 Patriot IN 47038-9210 |
| Practice Telephone | 8129323224 |
| Mailing Telephone | 8122907637 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.024625 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28154325A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291799 | Kelly Elizabeth Roark | Speech-Language Pathologist | 1731 Bunker Hill Rd Ne, Washington, DC 20017-3026 | 2020-09-24 |
| Street Address |
20 ALPINE DR |
| City | BATESVILLE |
| State | IN |
| Zip Code | 47006-8477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780670505 | Trent R Austin | Internal Medicine | 20 Alpine Dr, Batesville, IN 47006-8477 | 2005-09-27 |
| 1699292359 | Phillip Ernst | Physician Assistant | 20 Alpine Dr, Batesville, IN 47006-8477 | 2017-08-24 |
| 1326476920 | Christopher Stephen Hord | Physician Assistant | 20 Alpine Dr, Batesville, IN 47006-8477 | 2013-10-17 |
| 1851739767 | Eric K Wessel | Physician Assistant | 20 Alpine Dr, Batesville, IN 47006-8477 | 2013-06-13 |
| 1730226028 | Accudoc Inc PC | Clinic/Center | 20 Alpine Dr, Batesville, IN 47006-8477 | 2007-01-30 |
| 1356422554 | Cranford Richard Powell | Physician Assistant | 20 Alpine Dr, Batesville, IN 47006-8477 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891319794 | Terrence Roberts | Dentist | Batesville Dental, 391 Northside Dr, Batesville, IN 47006 | 2020-06-05 |
| 1508404815 | Shelli Ann Bulach | Pharmacist | 1034 Sr 229 North, Batesville, IN 47006 | 2019-12-17 |
| 1902357759 | Olivia Eckstein | Physician Assistant | Batesville Medical Arts Building, 395 Northside Drive, Batesville, IN 47006 | 2016-10-17 |
| 1396133518 | Forefront Dermatology, S.c. | Dermatology | 188 State Road 129 S. Ste B, Batesville Medical Arts Bldg, Batesville, IN 47006 | 2014-12-23 |
| 1831595065 | Quad Med LLC | Clinic/Center | 227 Six Pine Ranch Road, Batesville, IN 47006 | 2014-11-17 |
| 1871842310 | Noah Daniel Lankford | Counselor | 215 E. George St, Batesville, IN 47006 | 2012-08-30 |
| 1942566021 | Lauren Nicole Gill | Nurse Practitioner | 188 State Rd, Ste. B, Batesville, IN 47006 | 2012-04-03 |
| 1942520374 | Carla Jean Oesterling | Specialist | 4241 Forest Road, Batesville, IN 47006 | 2010-06-08 |
| 1487988234 | Carmen Curl | Technician, Other | 1239 State Road, 229, Batesville, IN 47006 | 2009-09-28 |
| 1417190026 | Morris Fireman's Association, Inc | Ambulance | 4702 Church St., Batesville, IN 47006 | 2009-04-13 |
| Find all providers in zip 47006 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538642053 | Lauren C Williams | Nurse Practitioner | 137 Public Sq, Batesville, MS 38606-2127 | 2018-09-11 |
| 1336655513 | Donna Dutton | Nurse Practitioner | 1547 Harrison St, Batesville, AR 72501-7222 | 2017-12-25 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1124575394 | Shelly Eisert | Nurse Practitioner | 920 County Line Rd, Batesville, IN 47006-9008 | 2016-09-06 |
| 1598116402 | Brittany Holliday Willis | Nurse Practitioner | 171 Lakewood Dr, Batesville, MS 38606-3011 | 2016-06-22 |
| 1114310877 | Elizabeth White | Nurse Practitioner | 171-a Lakewood Drive, Batesville, MS 38606 | 2015-03-05 |
| 1083017313 | Lauren Durham | Nurse Practitioner | 555 Highway 6 E, Batesville, MS 38606-3003 | 2014-10-01 |
| 1043568058 | Rachel Jeannette Johnson | Nurse Practitioner | 905 20th St Ste B, Batesville, AR 72501-7008 | 2012-08-22 |
| 1073877023 | Diabetic Experts of Arkansas, LLC | Nurse Practitioner | 905 20th St, Suite B, Batesville, AR 72501-7008 | 2012-06-25 |
| 1942566021 | Lauren Nicole Gill | Nurse Practitioner | 188 State Rd, Ste. B, Batesville, IN 47006 | 2012-04-03 |
| Find all providers in BATESVILLE | ||||
| City | BATESVILLE |
| Zip Code | 47006 |
Please comment or provide details below to improve the information on KELLY 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.