MS. MICHELLE L ROARK (NPI# 1427182492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427182492 |
Entity Type | Individual |
Full Name | MS. MICHELLE L ROARK |
Credential | NP, RN |
Practice Address |
3322 Melrose Rd Fayetteville NC 28304-1604 |
Mailing Address |
60 Chesapeake Rd Cameron NC 28326-6010 |
Practice Telephone | 9106094594 |
Enumeration Date | 2007-03-14 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164863262 | Michelle L Roark | Midwife | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2013-07-17 |
Street Address |
3322 MELROSE RD |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28304-1604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
Find all providers in zip 28304 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538702170 | Maya Tiffany Jacqueline King | Nurse Practitioner | 105 S Shore Ter, Fayetteville, GA 30214-7399 | 2019-10-27 |
1750686762 | Angela Marie Guidry | Nurse Practitioner | 1572 Highway 85 N Ste 203, Fayetteville, GA 30214-7726 | 2011-01-21 |
1093964975 | Brenda Carole Hayek | Nurse Practitioner | 735 Glynn Street S, Fayetteville, GA 30215 | 2008-09-16 |
1902891450 | Phyllis K Marion | Nurse Practitioner | 1601 Owen Dr, Sr-ahec Specialty Medical Center, Fayetteville, NC 28304-3425 | 2005-09-12 |
1891306692 | Katlin Lee Yokeley | Nurse Practitioner | 1540 Purdue Dr Ste 101, Fayetteville, NC 28303-5510 | 2020-08-14 |
1912567447 | Mallory Washington | Nurse Practitioner | 101 Yorktown Dr Ste 102, Fayetteville, GA 30214-1578 | 2019-06-17 |
1710473111 | Cari Addington | Nurse Practitioner | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2018-07-09 |
1063915049 | Alexa M Walker | Nurse Practitioner | 5617 Ramsey St, Fayetteville, NC 28311 | 2018-03-15 |
1801124334 | Barbara Jean Chapman-nellis | Nurse Practitioner | 1235 Ramsey Street, Fayetteville, NC 28301 | 2009-11-20 |
1144466921 | Katie Jean Poole | Nurse Practitioner | 509 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2008-12-27 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28304 |
Please comment or provide details below to improve the information on MS. MICHELLE L 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.