THERESIA ROACH (NPI# 1851789598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851789598 |
| Entity Type | Individual |
| Full Name | THERESIA ROACH |
| Credential | NP-C |
| Practice Address |
3500 Cloverdale Rd Florence AL 35633-1302 |
| Mailing Address |
1860 Wayne Rd Savannah TN 38372-5148 |
| Practice Telephone | 2562847706 |
| Mailing Telephone | 7319264222 |
| Mailing Fax Number | 7319264228 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-092699 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | GROUP NPI | 1326373861 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 342 Cox Blvd, Sheffield, AL 356604020 | 2563834473 | 2563815232 |
| Street Address |
3500 CLOVERDALE RD |
| City | FLORENCE |
| State | AL |
| Zip Code | 35633-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730252644 | Lang Theodore Harp | Dentist | 3500 Cloverdale Rd, Florence, AL 35633-1302 | 2006-11-16 |
| 1205484326 | Thrive Health Urgent Care, Inc. | Clinic/Center | 3500 Cloverdale Rd, Florence, AL 35633-1302 | 2019-09-02 |
| 1861731085 | Cypress Creek Dental, LLC | Dentist | 3500 Cloverdale Rd, Florence, AL 35633-1302 | 2013-02-07 |
| 1285931758 | James Wesley Hamilton Jr. | Nurse Practitioner | 3500 Cloverdale Rd, Florence, AL 35633 | 2011-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814224 | Bama Pool Construction, Inc. | Durable Medical Equipment & Medical Supplies | 3602 Cloverdale Road, Florence, AL 35633 | 2018-09-14 |
| 1356417927 | Leonard Hugh Vanhorn | Chiropractor | 501 Cr 279, Florence, AL 35633 | 2006-11-27 |
| 1962993691 | Alabama Chiropractic Spine & Joint Clinic | Chiropractor | 100 Pine Brook Dr, Florence, AL 35633 | 2018-05-29 |
| 1477040483 | Petersville Family Care, LLC | Family Medicine | 2929 Cloverdale Rd, Florence, AL 35633 | 2018-04-16 |
| 1780856781 | Inkyung Kim Santiago | Internal Medicine | 11348 Highway 20, Florence, AL 35633 | 2008-03-31 |
| 1972793263 | Central Family Clinic, Inc | Family Medicine | 11348 Highway 20, Florence, AL 35633 | 2007-08-01 |
| 1669913562 | Monica Page Irons | General Acute Care Hospital | 20075 County Road 14, Florence, AL 35633-0333 | 2017-03-13 |
| 1730573445 | Anthony R White | Occupational Therapy Assistant | 123 White Oak Ln, Florence, AL 35633-1015 | 2015-03-20 |
| 1316958036 | Connie M Arnold | Nurse Practitioner | 3909 Pasadena Ave, Florence, AL 35633-1132 | 2006-08-10 |
| 1184927568 | Bailey Russell Carroll | Chiropractor | 100 Pine Brook Dr, Florence, AL 35633-1137 | 2010-12-07 |
| Find all providers in zip 35633 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322703 | Stephenie Matthews Gordon | Nurse Practitioner | 3037 Waterford Dr, Florence, SC 29501-6383 | 2020-09-26 |
| 1073130829 | Lindsay Humphreys | Nurse Practitioner | 309 Ashwoody Dr, Florence, AL 35633-1700 | 2020-06-28 |
| 1710504568 | Deborah Valentine | Nurse Practitioner | 9331 Highway 157, Florence, AL 35633-4635 | 2020-06-28 |
| 1235755984 | Chasidy Lynn Ward | Nurse Practitioner | 406 Woodland Dr, Florence, SC 29501-5445 | 2020-06-18 |
| 1174146054 | Heather Helmbrecht-vines | Nurse Practitioner | 1631 Corinthian Dr Apt 2023, Florence, KY 41042-7424 | 2020-05-26 |
| 1245850148 | Duran Healthcare Pllc | Nurse Practitioner | 9910 Berberich Dr Unit E, Florence, KY 41042-3220 | 2020-04-21 |
| 1548897788 | Pansi Anil Patel | Nurse Practitioner | 511 Prestwick Dr, Florence, SC 29501-8738 | 2020-03-26 |
| 1245861228 | Chasity Beene | Nurse Practitioner | 2929 Cloverdale Rd Unit D, Florence, AL 35633-1505 | 2020-01-29 |
| 1023649191 | Loreena Ruth Fraboni | Nurse Practitioner | 5880 Co-67, Florence, CO 81226 | 2020-01-28 |
| 1093355430 | Stephen Panosian | Nurse Practitioner | 2612 N Palo Verde Dr, Florence, AZ 85132-6880 | 2020-01-14 |
| Find all providers in FLORENCE | ||||
Please comment or provide details below to improve the information on THERESIA ROACH.
| 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.