MS. KELLY A ROETMAN (NPI# 1821089376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821089376 |
| Entity Type | Individual |
| Full Name | MS. KELLY A ROETMAN |
| Credential | APN |
| Practice Address |
973 Mica Dr Ste 201 Carson City NV 89705 |
| Mailing Address |
973 Mica Dr Ste 201 Carson City NV 89705-7258 |
| Practice Telephone | 7757836190 |
| Practice Fax Number | 7757836191 |
| Mailing Telephone | 7757836190 |
| Mailing Fax Number | 7757836191 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 26083 | NV | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 513594 | CA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | APN000605 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | BCBS | CC9627 | 01 |
| NV | 1821089376 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 555 N Arlington Ave, Reno, NV 895034723 | 7757863040 | 7753233134 |
| Street Address |
973 MICA DR STE 201 |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457918161 | Quay Hervey | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705-7258 | 2019-05-29 |
| 1720557374 | Shelby Real | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705-7258 | 2018-11-13 |
| 1578086013 | Peter N Costa, Md | Durable Medical Equipment & Medical Supplies | 973 Mica Dr Ste 201, Carson City, NV 89705-7258 | 2017-07-17 |
| 1316468762 | Mallory Cushner | Registered Nurse | 973 Mica Dr Ste 201, Carson City, NV 89705-7258 | 2017-07-06 |
| 1083145809 | Ashten Howard | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2017-03-23 |
| 1881068518 | Emma Bacharach | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2015-11-18 |
| 1437418811 | Daniel James Cepela | Orthopaedic Surgery | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2012-05-06 |
| 1578858858 | Rueben Nair | Orthopaedic Surgery | 973 Mica Dr Ste 201, Carson City, NV 89705-7258 | 2011-06-14 |
| 1992024111 | Jennifer Lindsey Mendoza | Anesthesiology | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2010-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366642423 | Melinda Kaye Hoskins | Registered Nurse | 937 Mica Dr Ste 16b, Carson City, NV 89705 | 2007-07-18 |
| 1396897849 | Ronald Winkelman | Optometrist | 3370 N. Hwy 395 South, Carson City, NV 89705 | 2007-01-17 |
| 1821155300 | Huyen Mong Nguyen | Optometrist | 911 Topsy Ln Ste 236, Carson City, NV 89705 | 2007-01-03 |
| 1013018241 | Timothy R. Stoll Dds LLC | Dentist | 1625 Hwy 88, Suite 201, Minden, NV 89705 | 2006-09-26 |
| 1720198344 | Costco Wholesale Corporation | Pharmacy | 700 Old Clear Creek Rd, Carson City, NV 89705 | 2006-08-30 |
| 1770845885 | Melinda Hoskins Cnm, Ltd | Registered Nurse | 937 Mica Dr Ste 16b, Carson City, NV 89705 | 2012-06-13 |
| 1457403495 | Ronald Winkelman O.d., Inc. | Optometrist | 3370 N. Hwy 395 South, Carson City, NV 89705 | 2007-01-18 |
| 1609919034 | Joseph William Saccoman | Chiropractor | 3790 Hwy 395 S. Ste 303, Joe Saccoman, D.c., Carson City, NV 89705-5808 | 2007-02-15 |
| 1629325691 | Melissa S. Jones Dds Ltd | Dentist | 3790 Us Highway 395 S Ste 406, Carson City, NV 89705-5809 | 2012-08-09 |
| 1679757942 | Farnaz Khankhanian, O.d. Professional Corporation | Optometrist | 3790 Us Highway 395 S Ste 407, Carson City, NV 89705-5809 | 2007-12-21 |
| Find all providers in zip 89705 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447568787 | Carson Tahoe Physician Clinics | Nurse Practitioner | 3770 Us Hwy 395 So, Carson City, NV 89705-6898 | 2010-09-21 |
| 1366419806 | Nancy A Weaver | Nurse Practitioner | 518 E Elm St, Carson City, MI 48811 | 2006-03-03 |
| 1104892140 | Patricia A Terry | Nurse Practitioner | 102 S Third St, Suite 100, Carson City, MI 48811 | 2006-02-28 |
| 1154397339 | John J Malek | Nurse Practitioner | 3770 Us Hwy 395 S, Carson City, NV 89705-6898 | 2006-02-27 |
| 1669082459 | Sarah Gentile | Nurse Practitioner | 1201 S Carson St, Carson City, NV 89701-5225 | 2020-08-05 |
| 1922643386 | Leah Walsh | Nurse Practitioner | 1385 Vista Ln, Carson City, NV 89703-4643 | 2019-11-08 |
| 1366085870 | Joshua Pierce | Nurse Practitioner | 1201 S Carson St, Carson City, NV 89701-5225 | 2019-10-28 |
| 1164985362 | Amanda Lauren Horton | Nurse Practitioner | 3325 Research Way, Carson City, NV 89706-7913 | 2019-04-13 |
| 1689106031 | Jennifer Evans | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2017-04-03 |
| 1568908879 | Jennifer K Peters | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2017-01-10 |
| Find all providers in CARSON CITY | ||||
| City | CARSON CITY |
| Zip Code | 89705 |
Please comment or provide details below to improve the information on MS. KELLY A ROETMAN.
| 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.