LEASA L ROACH (NPI# 1326061235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326061235 |
| Entity Type | Individual |
| Full Name | LEASA L ROACH |
| Credential | GNP |
| Practice Address |
1205 E 35th St Texarkana AR 71854-2746 |
| Practice Telephone | 9037355355 |
| Practice Fax Number | 9037355399 |
| Mailing Telephone | 9038355355 |
| Mailing Fax Number | 9037355399 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
526631 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | 526631 | 01 |
| AR | BLUECROSS BLUESHIELD | 5A158 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 8Y1726 | 01 |
| TX | RAILROAD MEDICARE | P00376988 | 01 |
| AR | 163821758 | 05 |
| Street Address |
1205 E 35TH ST |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639163363 | Spanish Trace Clinic | Family Medicine | 1205 E 35th St, Texarkana, AR 71854-2746 | 2005-09-08 |
| 1730643115 | Maranda Wells | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854-2746 | 2019-01-30 |
| 1053840082 | Crystal Marie Stanberry | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854-2746 | 2017-06-04 |
| 1023461399 | Tommy Caldwell | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854-2746 | 2016-07-21 |
| 1093186249 | East Texas Border Health Clinic | Clinic/Center | 1205 E 35th St, Texarkana, AR 71854-2746 | 2015-10-14 |
| 1578947925 | Mary Williams | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854-2746 | 2015-07-15 |
| 1750765673 | Jennifer Miller | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854-2746 | 2015-07-10 |
| 1780075473 | Sam Allen Nix | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854-2746 | 2015-02-17 |
| 1700274909 | Pamela May | Nurse Practitioner | 1205 E 35th St, Texarkana, AR 71854 | 2014-12-23 |
| 1104169895 | Kelly Leshell Hardin | Registered Nurse | 1205 E 35th St, Texarkana, AR 71854-2746 | 2013-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1407203425 | Katherine Antoinette Robertson | Nurse Practitioner | 1307 Trinity Blvd, Texarkana, AR 71854-8310 | 2016-05-19 |
| 1295731545 | Amy Leigh Overton-mccoy | Nurse Practitioner | 1307 Trinity Boulevard, Texarkana, AR 71854 | 2005-06-22 |
| 1538162045 | Jerome Bradfield Watson | Nurse Practitioner | 7209 Goldfinch Rd, Texarkana, TX 75501-0227 | 2005-05-30 |
| 1114534252 | Lansdell Family Clinic Pllc | Nurse Practitioner | 4102 Gibson Ln, Texarkana, TX 75503-1120 | 2020-09-23 |
| 1184929622 | Andrea K Heflin | Nurse Practitioner | 1400 College Dr, Ste 202, Texarkana, TX 75503-3536 | 2011-01-13 |
| 1114151297 | C Ronald Drye | Nurse Practitioner | 2014 Galleria Oaks Dr, Texarkana, TX 75503-4620 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451853 | Quynh Chau Bao Wang | Nurse Practitioner | 1024 Boulder Dr, Little Rock, AR 72210-4789 | 2020-06-10 |
| 1881233914 | Barbara Faye Ellis | Nurse Practitioner | 4250 Brewer Rd, Edgemont, AR 72044-9539 | 2020-01-07 |
| 1154964559 | Latoya Danielle Young | Nurse Practitioner | 1413 Sweetgum Ln, North Little Rock, AR 72117-9740 | 2019-10-18 |
| 1932754942 | Amy Cooper | Nurse Practitioner | 14309 Cantrell Rd Ste 7, Little Rock, AR 72223-4230 | 2019-08-06 |
| 1548827066 | Melonie Ann Cook | Nurse Practitioner | 1407 Jennifer St, Springdale, AR 72762-2091 | 2019-05-20 |
| 1659851400 | Lorena Aimee Padilla | Nurse Practitioner | 3003 Napa Ln, Springdale, AR 72764-7818 | 2018-08-20 |
| 1427535673 | Michelle D. Joyner | Nurse Practitioner | 398 Honey Hill Loop, Searcy, AR 72143-9170 | 2018-07-20 |
| 1679012504 | Lerizza D Nunag | Nurse Practitioner | 2540 State Highway 388, Gould, AR 71643-9634 | 2017-02-13 |
| 1457716029 | Chasta Mandy Barbee-lumpkin | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2015-12-23 |
| 1366810491 | Anna Jean Passmore | Nurse Practitioner | 601 Dripping Springs Rd, Judsonia, AR 72081-9797 | 2015-09-06 |
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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.