WILLIAM ROESCH (NPI# 1417148073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417148073 |
| Entity Type | Individual |
| Full Name | WILLIAM ROESCH |
| Credential | RN FNP DC |
| Practice Address |
1400 Emeline Ave Santa Cruz CA 95060-1976 |
| Practice Telephone | 8314544170 |
| Practice Fax Number | 8314544663 |
| Mailing Telephone | 8314544170 |
| Mailing Fax Number | 8314544663 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2011-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN330400 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP3345 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REGISTERED NURSE | RN 330400 | 01 |
| CA | MEDICARE GROUP ID# | ZZZ92069Z | 01 |
| CA | MEDICARE GROUP ID# | ZZZ91891Z | 01 |
| CA | MEDICARE GROUP ID# | ZZZ91892Z | 01 |
| CA | NURSE PRACTITIONER | NP 3345 | 01 |
| Street Address |
1400 EMELINE AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925526 | William C Falzett Jr. | Psychologist | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2005-07-09 |
| 1013518125 | Magali Eunice Arriaga Ortiz | Nurse's Aide | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2020-11-04 |
| 1154920098 | Andromeda Marie Scheller | Nurse's Aide | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2020-10-21 |
| 1124665286 | Jeremy Lansing | Social Worker | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-12-06 |
| 1013564806 | Amanda Lynett Travers | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-08-26 |
| 1144887928 | Nathan J Riera | Rehabilitation Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-05-28 |
| 1386201242 | Joseph Harris Price IIi | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-05-24 |
| 1841759305 | Julie Delophine Keller-olivas | Registered Nurse | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-03-14 |
| 1962981282 | Robert Antonio Gomez | Public Health or Welfare | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2018-08-08 |
| 1154808368 | Diana Marcela Eaton | Nurse's Aide | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352306 | Erin B O'connor-thygeson | Nurse Practitioner | 311 Olaughlin Rd, Santa Cruz, CA 95065-9694 | 2020-10-04 |
| 1538621131 | Cynthia Davis | Nurse Practitioner | 5019 Thurber Ln, Santa Cruz, CA 95065-1152 | 2019-04-02 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1205285137 | Melody Cantrell | Nurse Practitioner | 125 Claremont Ter, Santa Cruz, CA 95060-1749 | 2016-06-10 |
| 1437480753 | Rebecca A. Mckenzie | Nurse Practitioner | 303 Potrero St Ste 5a, Santa Cruz, CA 95060-2756 | 2010-01-26 |
| 1407848484 | Anne Rice Davis | Nurse Practitioner | 115 Locust St., Santa Cruz, CA 95062-1323 | 2005-08-17 |
| 1033734900 | Kimberly Elliott | Nurse Practitioner | 1662 Dominican Way, Santa Cruz, CA 95065-1522 | 2020-06-16 |
| 1811526114 | Selena Hudson | Nurse Practitioner | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2020-04-07 |
| 1609415728 | Angelika Desimone | Nurse Practitioner | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2020-01-06 |
| 1811542863 | Emma Kathleen Kleck | Nurse Practitioner | 250 Locust St, Santa Cruz, CA 95060-3813 | 2019-08-06 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on WILLIAM ROESCH.
| 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.