MISS ROXANN DEBORAH KINLOCK (NPI# 1508014598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508014598 |
| Entity Type | Individual |
| Full Name | MISS ROXANN DEBORAH KINLOCK |
| Credential | RPA-C |
| Practice Address |
805 S Governors Ave Dover DE 19904-4158 |
| Mailing Address |
322 Coldwater Dr Clayton DE 19938-3903 |
| Practice Telephone | 3026785200 |
| Mailing Telephone | 3022229539 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2013-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 011805 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
805 S GOVERNORS AVE |
| City | DOVER |
| State | DE |
| Zip Code | 19904-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134158116 | Barbara D Marker | Registered Nurse | 805 S Governors Ave, Dover, DE 19904-4158 | 2006-07-01 |
| 1912139213 | Marianne Millis Mcevoy Abrams | Advanced Practice Midwife | 805 S Governors Ave, Dover, DE 19904-4158 | 2009-08-20 |
| 1952484321 | Susan Marie Lahaie | Nurse Practitioner | 805 S Governors Ave, Dover, DE 19904-4158 | 2006-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922643139 | Kayla Sharese Beauplan | Physician Assistant | 644 S Queen St Ste 106, Dover, DE 19904-3543 | 2019-11-12 |
| 1598313793 | Neil Mast | Physician Assistant | 515 Union Ave Ste 157, Dover, OH 44622-3005 | 2019-08-30 |
| 1699339317 | Diana Kay Fizette | Physician Assistant | 13014 Binnion Dr, Dover, FL 33527-3661 | 2019-04-29 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1508332149 | Kerri Taylor | Physician Assistant | 1125 Forrest Ave Ste 203, Dover, DE 19904-3483 | 2018-10-22 |
| 1841716909 | Tara Kay | Physician Assistant | 1113 S State St Ste 100, Dover, DE 19901-4112 | 2017-08-20 |
| 1356861918 | Brielle Camille Greco | Physician Assistant | 655 S Bay Rd Ste 1, Dover, DE 19901-4615 | 2017-06-26 |
| 1710407671 | Alicia Kelley Wilber | Physician Assistant | 750 Central Ave Ste N, Dover, NH 03820-3434 | 2017-06-22 |
| 1194194035 | Shawn Blackburn | Physician Assistant | 200 Banning St Ste 340, Dover, DE 19904-3490 | 2015-09-22 |
| 1851760094 | Sydney Scott | Physician Assistant | 200 Banning Street, Suite 340, Eden Hill Medical Center, Dover, DE 19904 | 2015-09-17 |
| Find all providers in DOVER | ||||
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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.