KELLY RENEE ROACH (NPI# 1811498579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811498579 |
| Entity Type | Individual |
| Full Name | KELLY RENEE ROACH |
| Credential | RN |
| Practice Address |
5108 Sandy Ln Fairfield OH 45014 |
| Mailing Address |
446 Morgan St Cincinnati OH 45206-2348 |
| Practice Telephone | 5138347063 |
| Mailing Telephone | 5138347063 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN.395779 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689862658 | Kelly Lynn Roach | Physical Therapy Assistant | 3335 Palm Dr Apt 1, Rapid City, SD 57701-2069 | 2007-10-04 |
| 1417077223 | Kelly Lee Roach | Licensed Practical Nurse | 173 W Cedar St, Jefferson, OH 44047-1380 | 2007-03-29 |
| 1255540167 | Kelly Roach | Physical Therapy Assistant | 735 Putnam Pike, Greenville, RI 02828-1435 | 2007-05-21 |
| 1366651861 | Kelly M Roach | Physical Therapist | 2535 Lone Star Dr, Dallas, TX 75212-6313 | 2007-05-21 |
| Street Address |
5108 SANDY LN |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386665370 | Darlene Ruth Beya | Registered Nurse | 5108 Sandy Ln, Fairfield, OH 45014-2738 | 2006-07-22 |
| 1780298729 | Susan L Danforth | Registered Nurse | 5108 Sandy Ln, Fairfield, OH 45014-2738 | 2020-09-08 |
| 1790315620 | Cassandra Kay Olivares | Licensed Practical Nurse | 5108 Sandy Ln, Fairfield, OH 45014-2738 | 2020-01-20 |
| 1033751631 | Raquel Marshay Camacho | Licensed Practical Nurse | 5108 Sandy Ln, Fairfield, OH 45014-2738 | 2019-10-15 |
| 1205496403 | Billie Carol Stokes | Licensed Practical Nurse | 5108 Sandy Ln, Fairfield, OH 45014-2738 | 2019-06-19 |
| 1962065540 | Monica Lynn Walters | Licensed Practical Nurse | 5108 Sandy Ln, Fairfield, OH 45014-2738 | 2019-04-18 |
| 1497214977 | Christopher Yeager | Counselor | 5108 Sandy Ln, Fairfield, OH 45014-2738 | 2019-03-14 |
| 1972061331 | Janine Fitzwater | Licensed Practical Nurse | 5108 Sandy Ln, Fairfield, OH 45014-2738 | 2019-03-05 |
| 1073085668 | Riva Oliphant | Counselor | 5108 Sandy Ln, Fairfield, OH 45014-2738 | 2018-12-20 |
| 1740758473 | Tanya Leigh Kaylor | Registered Nurse | 5108 Sandy Ln, Fairfield, OH 45014-2738 | 2018-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929651 | Shauntel Evette Haas | Registered Nurse | 2811 Toland Dr, Fairfield, CA 94534-3441 | 2020-10-15 |
| 1831797398 | Angela Pau | Registered Nurse | 100 Bent Tree Dr Apt 1a, Fairfield, OH 45014-6729 | 2020-10-15 |
| 1750991162 | Jillene Bonet | Registered Nurse | 271 Shady Hill Rd, Fairfield, CT 06824-7345 | 2020-08-01 |
| 1982213088 | Chanel Tiara Williams | Registered Nurse | 1102 Governors Dr, Fairfield, OH 45014-2948 | 2020-07-24 |
| 1235754573 | Mary Ann Genevieve Salonga Ocampo | Registered Nurse | 1550 Bussiness Center Dr., Fairfield, CA 94533-4802 | 2020-06-12 |
| 1932735008 | Grant M Picarillo | Registered Nurse | 244 Pine Creek Ave, Fairfield, CT 06824-6389 | 2020-03-20 |
| 1972134047 | Prince M Jose | Registered Nurse | 1818 Ashford Ct, Fairfield, CA 94533-8997 | 2020-01-28 |
| 1760012991 | Brandi Ann Renfroe | Registered Nurse | 450 Pittman Rd Apt 521, Fairfield, CA 94534-6730 | 2020-01-15 |
| 1619526787 | Rachel Orr | Registered Nurse | 1769 Norwalk Way, Fairfield, CA 94534-2967 | 2019-09-10 |
| 1235784596 | Mindy Anne Milbrun | Registered Nurse | 564 Black Rock Tpke Unit C, Fairfield, CT 06825-4744 | 2019-08-05 |
| Find all providers in FAIRFIELD | ||||
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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.