TERRI BROOKE ROACH (NPI# 1902328362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902328362 |
| Entity Type | Individual |
| Full Name | TERRI BROOKE ROACH |
| Credential | RN |
| Practice Address |
651 Dunlop Lane Clarksville TN 37040 |
| Mailing Address |
651 Dunlop Ln Clarksville TN 37040-5015 |
| Practice Telephone | (931) 502-1000 |
| Mailing Telephone | 9315021000 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN0000127177 | TN | Nursing Service Providers |
| Y | 207Q00000X | Family Medicine | APN0000021331 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
651 DUNLOP LANE |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| 1366984841 | Krystal Lynn Pulley | Registered Nurse | 330 Pageant Lane, Clarksville, TN 37040 | 2016-11-15 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164982443 | Compassion Care Clinic | Family Medicine | 2269 Wilma Rudolph Blvd Ste 106, Clarksville, TN 37040-8416 | 2019-03-22 |
| 1427517986 | Garry Henderson Lovins | Family Medicine | 5914 Perfect Calm Ct, Clarksville, MD 21029-1259 | 2019-03-14 |
| 1962944686 | Urgent Care Hillcrest LLC | Family Medicine | 230 Hillcrest Dr, Clarksville, TN 37043-6520 | 2016-11-11 |
| 1356736854 | John Williams Ross | Family Medicine | 1492 Tiny Town Rd Ste A1-a2, Clarksville, TN 37042-7873 | 2015-04-01 |
| 1104253327 | Medical Direct Care, Plc | Family Medicine | 190 Hatcher Lane, Suite B, Clarksville, TN 37040 | 2013-10-02 |
| 1215364633 | America Cares Trust, Inc | Family Medicine | 647 Dunlop Ln Ste 102, Clarksville, TN 37040-5165 | 2013-09-30 |
| 1790055747 | Care for Your Health, Inc | Family Medicine | 12140 Flowing Water Trl, Clarksville, MD 21029-1682 | 2012-01-09 |
| 1790916690 | Patricia Lee Isaacs | Family Medicine | 2051 Clevidence Blvd Ste 1, Clarksville, IN 47129-2278 | 2009-07-27 |
| 1316120280 | Kenneth Lee Hershberger | Family Medicine | 309 Archer Dr, Clarksville, MI 48815-9789 | 2007-12-13 |
| 1003013160 | William P. Grabenstein | Family Medicine | 1822 Memorial Dr, Clarksville, TN 37043-4605 | 2007-06-29 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.