MRS. CAROLYN IRENE ROE (NPI# 1609850866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609850866 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN IRENE ROE |
| Credential | N. P. |
| Practice Address |
2231 Catlin Ave Superior WI 54880-5137 |
| Mailing Address |
2210 W 7th St Duluth MN 55806-1535 |
| Practice Telephone | 7153944117 |
| Mailing Telephone | 2187229485 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2291-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R 088575-9 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2231 CATLIN AVE |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427289800 | Debra Ann Latscher | Registered Nurse | 2231 Catlin Ave, Box 3, Superior, WI 54880-5137 | 2009-08-03 |
| 1326278250 | Susan Rae Androski | Registered Nurse | 2231 Catlin Ave, Box 3, Superior, WI 54880-5137 | 2009-07-27 |
| 1053540856 | North Country Independent Living | In Home Supportive Care | 2231 Catlin Ave, Superior, WI 54880-5137 | 2009-07-14 |
| 1619120946 | Beth Ann Severin | Registered Nurse | 2231 Catlin Ave, Superior, WI 54880-5137 | 2008-10-30 |
| 1427208784 | Bridgeport Counseling | Counselor | 2231 Catlin Ave, Room #310, Superior, WI 54880-5137 | 2008-09-23 |
| 1548445778 | Timothy Lloyd Panula | Counselor | 2231 Catlin Ave, Suite #310, Superior, WI 54880-5137 | 2008-01-07 |
| 1164607305 | Katherine Marie Panula | Counselor | 2231 Catlin Ave, Suite #310, Superior, WI 54880-5137 | 2008-01-07 |
| 1689888265 | Kimberly Kay Dirkes | Social Worker | 2231 Catlin Ave, Superior, WI 54880-5137 | 2007-05-10 |
| 1396889259 | Douglas County Community Health Clinic Inc. | Case Management | 2231 Catlin Ave, Superior, WI 54880-5137 | 2007-02-16 |
| 1558433797 | Linda L Toppings | Counselor | 2231 Catlin Ave, Superior, WI 54880-5137 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311346 | Jasper Welter | Nurse Practitioner | 2300 S Rock Creek Pkwy Apt 29-204, Superior, CO 80027-4418 | 2020-06-21 |
| 1396263653 | Angela Kaye Joneson | Nurse Practitioner | Essentia Health St. Mary's-superior Clinic, 3500 Tower Avenue, Superior, WI 54880-5335 | 2017-09-06 |
| 1437451994 | Leslie S. L. Broad | Nurse Practitioner | 6 Sandpiper Pl, Superior, WI 54880-5390 | 2010-12-03 |
| 1821058421 | Karen Wyse Niedermier | Nurse Practitioner | 2202 E 2nd St Ste 377, Superior, WI 54880-3778 | 2006-03-27 |
| 1801872080 | Vicki Brady | Nurse Practitioner | 3500 Tower Ave, Superior, WI 54880-5335 | 2005-12-19 |
| 1073598595 | Harma A Drenth | Nurse Practitioner | 3 Superior Dr Ste 100a, Superior, CO 80027-8653 | 2005-12-07 |
| 1164994513 | Elaina A Fischer | Nurse Practitioner | 3500 Tower Ave, Superior, WI 54880-4491 | 2018-12-26 |
| 1740694108 | Tina Walman | Nurse Practitioner | 2202 East 2nd Street, Suite 377, Superior, WI 54880-3709 | 2014-06-13 |
| 1316386998 | Kelly Kristine Parish-larson | Nurse Practitioner | 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880-5335 | 2013-06-18 |
| 1134487176 | Nicole Kristine-baur Bakken | Nurse Practitioner | 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880-5335 | 2012-04-27 |
| Find all providers in SUPERIOR | ||||
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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.