MRS. KATIE G. ROACH


Address: 1819 Marshall St, Columbia, SC 29203-6907
Phone: 8034347000

MRS. KATIE G. ROACH (NPI# 1639337009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639337009
Entity Type Individual
Full Name MRS. KATIE G. ROACH
Credential ANP
Practice Address 1819 Marshall St
Columbia
SC 29203-6907
Mailing Address 709 Motley Rd
Hopkins
SC 29061-9635
Practice Telephone 8034347000
Mailing Telephone 8037766342
Enumeration Date 2008-06-02
Last Update Date 2008-06-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
949 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC DO NOT HAVE MEDICAID OR MEDICARE ID # 0000 01

Other Providers KATIE ROACH

NPI Name Taxonomy Address Enumeration
1376852947 Katie Roach Physician Assistant 114 Woodland St, Department of Surgery, Hartford, CT 06105-1208 2010-09-30

Office Location

Street Address 1819 MARSHALL ST
City COLUMBIA
State SC
Zip Code 29203-6907

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912203142 Sandra Smith Nurse Practitioner 1819 Marshall St, Columbia, SC 29203-6907 2011-02-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475284 Matthew Leon Brigmon Surgery 2 Richland Medical Park, Suite 300, Columbia, SC 29203 2020-10-23
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1790302362 Klariz Teves Tucker Internal Medicine Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-30
1811514482 Esther Ruth Swan Psychiatry & Neurology Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1447877014 Jordan Kaitlyn Merrels Psychiatry & Neurology Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1306463187 Jessica Leigh Watson Psychiatry & Neurology Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-29
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1609493592 Elizabeth Marie Kern Orthopaedic Surgery Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 2020-06-26
1891312799 Kathryn Victoria Steverson Psychiatry & Neurology Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-26
Find all providers in zip 29203

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699314393 Tamika Scott Nurse Practitioner 10840 Little Patuxent Pkwy Ste 105, Columbia, MD 21044-3254 2019-12-27
1497391924 Stephnie Michelle Wriedt Nurse Practitioner 1605 E Broadway Ste 250, Columbia, MO 65201-8031 2019-11-19
1518473115 Takeela Kinard Nurse Practitioner 1842 St Michaels Rd, Columbia, SC 29210-6140 2017-12-18
1629503594 Jennifer Junior Nurse Practitioner 2170 Walker Solomon Way, Columbia, SC 29204-1130 2017-04-27
1013454073 Chekita Rena Legette Nurse Practitioner Baptist Inpatient Medical, Taylor @ Marion Street, Columbia, SC 29220-0001 2017-01-27
1689118010 Linda Landry Nurse Practitioner 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 2016-12-04
1851753107 Irene James-frazer Nurse Practitioner 1494 Lake Murray Blvd Fl 2, Columbia, SC 29212-8697 2016-03-25
1396169587 Mobile Medical Care Nurse Practitioner 2504 Cayer Ln, Suite C, Columbia, TN 38401-7383 2014-02-10
1669789434 Kayla B Butler Nurse Practitioner 218 Ashley Place Rd, Columbia, SC 29229-9628 2010-09-01
1386817492 Jeannette Carol Quigley Nurse Practitioner 8894 Stanford Overlook, Columbia, MD 21045 2008-04-09
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 29203

Improve Information

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Dataset Information

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.

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