KATIE ROACH (NPI# 1376852947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376852947 |
| Entity Type | Individual |
| Full Name | KATIE ROACH |
| Credential | PA-C |
| Practice Address |
114 Woodland St Department of Surgery Hartford CT 06105-1208 |
| Practice Telephone | 8607145237 |
| Practice Fax Number | 8607148097 |
| Mailing Telephone | 8607145237 |
| Mailing Fax Number | 8607148097 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2015-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 002468 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002468 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639337009 | Katie G. Roach | Nurse Practitioner | 1819 Marshall St, Columbia, SC 29203-6907 | 2008-06-02 |
| Street Address |
114 WOODLAND ST DEPARTMENT OF SURGERY |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334207 | Richard Soucier | Internal Medicine | 114 Woodland St, Hartford, CT 06105-1208 | 2005-05-23 |
| 1003425745 | Brooke M P Chaves | Nurse Practitioner | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-29 |
| 1215545793 | Xuanthao Nguyen | Nurse Practitioner | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-21 |
| 1053939231 | Daniel Guilmette | Nurse Anesthetist, Certified Registered | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-14 |
| 1598383556 | Sarah Beth Flynn-savoie | Nurse Practitioner | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-07 |
| 1215550215 | Rachael Barber | Speech-Language Pathologist | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-26 |
| 1407479595 | Erin Michelle Sullivan | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-22 |
| 1831712256 | Hospitalist Medicine Physicians of Connecticut - Tcs, LLC | Family Medicine | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-20 |
| 1164044947 | Marena Josephine Harrison | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-14 |
| 1477175776 | David Neubauer | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1134536311 | Allyson E Kubasek | Physician Assistant | 32 Seymour Street, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-5037 | 2014-07-19 |
| 1063037091 | Andrew Jon Mccarthy | Physician Assistant | 80 Seymour St, Hartford, CT 06106-3315 | 2020-06-16 |
| 1417570722 | Leah Pawelczyk | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-05-20 |
| 1164044947 | Marena Josephine Harrison | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-14 |
| 1528688132 | Tess B Repaci | Physician Assistant | 80 Seymour St, Hartford, CT 06106-3300 | 2020-04-23 |
| 1588283584 | Dana Wells Mcpherson | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2020-04-10 |
| 1407486277 | Ashley Weisse | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-01-21 |
| 1053954222 | Nicole Ann Dietzel | Physician Assistant | 282 Washington St, Hartford, CT 06106-3322 | 2019-10-21 |
| 1952951121 | Lindsay Nicole Palma | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2019-09-18 |
| Find all providers in HARTFORD | ||||
Please comment or provide details below to improve the information on KATIE ROACH.
| 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.