CATHLEEN ROACH (NPI# 1275868895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275868895 |
| Entity Type | Individual |
| Full Name | CATHLEEN ROACH |
| Practice Address |
110 Ho Plaza Gannett Health Services Ithaca NY 14853 |
| Practice Telephone | 6072556106 |
| Practice Fax Number | 6072543503 |
| Mailing Telephone | 6072556106 |
| Mailing Fax Number | 6072543503 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 252527 | NY | Nursing Service Providers |
| Street Address |
110 HO PLAZA GANNETT HEALTH SERVICES |
| City | ITHACA |
| State | NY |
| Zip Code | 14853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720077563 | Katherine Heiss Zang | Family Medicine | 110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 | 2005-10-14 |
| 1679071377 | Paul Vincent Soper | Social Worker | 110 Ho Plaza, Cornell University, Ithaca, NY 14853 | 2018-01-28 |
| 1790292407 | Karen N. Williams | Psychologist | 110 Ho Plaza, Cornell Health, Ithaca, NY 14853 | 2018-01-03 |
| 1568979383 | Sheila Singh | Psychologist | 110 Ho Plaza, Cornell Health #548, Ithaca, NY 14853-3101 | 2018-01-02 |
| 1114371085 | Stephanie Wright | Registered Nurse | 110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 | 2016-04-18 |
| 1467806653 | Michael Doan | Registered Nurse | 110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 | 2016-04-14 |
| 1295153864 | Jennifer Krause | Registered Nurse | 110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 | 2014-04-01 |
| 1013353952 | Monica Josey | Registered Nurse | 110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 | 2013-05-20 |
| 1497191936 | Andrea Sutfin | Licensed Practical Nurse | 110 Ho Plaza, Ithaca, NY 14853 | 2013-05-10 |
| 1679919112 | Rebecca Hulslander | Licensed Practical Nurse | 110 Ho Plaza, Ithaca, NY 14853 | 2013-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174018071 | Bernard Francis Depalma | Physical Therapist | Cornell University, 512 Campus Road, Teagle Hall, Ithaca, NY 14853 | 2018-06-25 |
| 1538665369 | Audrey Hulbert | Registered Nurse | Cornell Health, 110 Ho Plaza, Ithaca, NY 14853 | 2018-04-02 |
| 1851714752 | College of Veterinary Medicine | Pharmacy | Cornell University Phcy-vmc Bldg, Tower Rd, Ithaca, NY 14853 | 2014-01-28 |
| 1033486899 | Philipp Ewert | Specialist/Technologist | 512 Campus Road, Tegal Hall, Ithaca, NY 14853 | 2011-11-22 |
| 1174828339 | Jennifer A Keough | Specialist/Technologist | Teagle Hall, Campus Rd, Cornell University, Ithaca, NY 14853 | 2011-01-20 |
| 1811029275 | Chris Scarlata | Specialist/Technologist | Teagle Hall, Campus Rd., Ithaca, NY 14853 | 2007-03-12 |
| 1407496250 | Momina Hayy Mastan | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853 | 2020-01-09 |
| 1982267845 | Rachel Coye | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853 | 2019-04-17 |
| 1871055160 | Mark Slattery | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853 | 2019-04-04 |
| 1568923977 | Tingna Min | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853 | 2019-03-28 |
| Find all providers in zip 14853 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558871889 | Kyla Leann Reyes | Licensed Practical Nurse | 1507 Slaterville Rd, Ithaca, NY 14850 | 2017-09-29 |
| 1821429937 | Kimberly Soeung | Licensed Practical Nurse | 1895 Mecklenburg Rd Apt 11, Ithaca, NY 14850-9283 | 2013-11-29 |
| 1821428038 | Mary Elizabeth Narcisse | Licensed Practical Nurse | 1804 Mecklenburg Rd Apt 2, Ithaca, NY 14850-9202 | 2013-11-25 |
| 1194093567 | Donna J Lussier | Licensed Practical Nurse | 584 W King Rd, Apt1, Ithaca, NY 14850-8608 | 2011-12-13 |
| 1316227366 | Donna G Gilbert | Licensed Practical Nurse | 25 Gilbert Rd, Ithaca, NY 14850-9454 | 2011-08-23 |
| 1629385620 | Jessica Jenkins | Licensed Practical Nurse | 101 Uptown Rd Apt 17, Ithaca, NY 14850-1604 | 2010-09-13 |
| 1316258312 | Eva M. Mccall | Licensed Practical Nurse | 555 Warrren Road, Ithaca, NY 14850-1862 | 2010-06-24 |
| 1366753543 | Laurie Jane Palladino | Licensed Practical Nurse | 555 Warren Road, Ithaca, NY 14850 | 2010-06-23 |
| 1538480033 | Cassandra Marie Niles | Licensed Practical Nurse | 208 Cypress Court, #3, Ithaca, NY 14850 | 2010-06-18 |
| 1437477791 | Denise Karis Stevenson | Licensed Practical Nurse | 164 E Miller Rd, Ithaca, NY 14850-9495 | 2010-05-12 |
| Find all providers in ITHACA | ||||
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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.