HOLLY A ROACH (NPI# 1720315872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720315872 |
| Entity Type | Individual |
| Full Name | HOLLY A ROACH |
| Credential | LMP |
| Practice Address |
414 So. 54th St. Tacoma WA 98408 |
| Practice Telephone | 2535486738 |
| Mailing Telephone | 2535486738 |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA60112051 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LMP | MA60112051 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942554902 | Holly Beth Roach | Occupational Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2012-10-30 |
| Street Address |
414 SO. 54TH ST. |
| City | TACOMA |
| State | WA |
| Zip Code | 98408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839597 | Michael David Clifton | Chiropractor | 1702 South 72nd Street, Tacoma, WA 98408 | 2017-09-05 |
| 1417405630 | Ashley Mae Grosso | Licensed Practical Nurse | 7011 S I St, Tacoma, WA 98408 | 2016-09-16 |
| 1568845188 | Carolyn M Jacoby | Social Worker | 4850 S Thompson Ave, Tacoma, WA 98408 | 2015-06-30 |
| 1265844385 | Kaitlyn Leigh Laube Ward | Podiatrist | 7808 Pacific Ave Ste 1, Tacoma, WA 98408 | 2014-05-22 |
| 1831328731 | Frederick Joseph Norrick Jr. | Massage Therapist | 5001 Pacific Avenue S, Integrative Body Therapeutics, Gibson Gardens Suite 422, Tacoma, WA 98408 | 2009-07-13 |
| 1528198264 | Susan Joline Henricksen | Massage Therapist | 6618 So L St, Tacoma, WA 98408 | 2007-03-06 |
| 1043364565 | Dawn Michelle Catlow | Massage Therapist | 6201 Pacific Avenue, Tacoma, WA 98408 | 2007-01-22 |
| 1538223227 | Joshua Bleustar | Counselor | 860 South 54th St, Tacoma, WA 98408 | 2006-12-20 |
| 1235291055 | Leonardo F Romero | Chiropractor | 7047 S D St., Ste. B, Tacoma, WA 98408 | 2006-12-15 |
| 1306958228 | Costless Pharmacy LLC | Pharmacy | 5431 Pacific Ave, Tacoma, WA 98408 | 2006-08-31 |
| Find all providers in zip 98408 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568911196 | Sheila Strecker | Specialist | 3518 6th Ave Ste 200, Tacoma, WA 98406-5419 | 2016-09-23 |
| 1356898530 | Nikita D Schipper | Specialist | 504 Garfield St S, Tacoma, WA 98444-3628 | 2016-09-06 |
| 1437513637 | Bridgette Burdyshaw | Specialist | 438 E 60th St, Tacoma, WA 98404-1926 | 2016-04-13 |
| 1326408410 | Kristina Baker | Specialist | 1310 S Union Ave Ste A202, Tacoma, WA 98405-1907 | 2016-03-02 |
| 1598130130 | Bethany Joy Gehrke | Specialist | 1601 N 8th St, Tacoma, WA 98403-1013 | 2015-12-08 |
| 1346613791 | Angela Jane King | Specialist | 913 N Frace St, Tacoma, WA 98406-2121 | 2015-11-06 |
| 1518364140 | Maria Margarita Celis | Specialist | 1011 S M St, Tacoma, WA 98405-3653 | 2014-11-25 |
| 1497151419 | Kaelyn Heath | Specialist | 6502 19th St Ne, Tacoma, WA 98422-3701 | 2014-11-18 |
| 1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
| 1265841175 | Valentine Yoga Therapy, LLC | Specialist | 420 S 35th St, Tacoma, WA 98418-6822 | 2014-08-05 |
| Find all providers in TACOMA | ||||
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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.