ROXANNE OMOAHOLO (NPI# 1902448582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902448582 |
| Entity Type | Individual |
| Full Name | ROXANNE OMOAHOLO |
| Practice Address |
301 Gibson Dr Roseville CA 95678-5400 |
| Mailing Address |
1212 Columbus St Pella IA 50219-1443 |
| Practice Telephone | 6075921611 |
| Mailing Telephone | 6075921611 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
152598 | IA | Nursing Service Providers |
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
152598 | IA | Nursing Service Providers |
| Street Address |
301 GIBSON DR |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699096909 | John Walter | Chiropractor | 301 Gibson Dr, # 1821, Roseville, CA 95678-5400 | 2010-06-21 |
| 1154963742 | Tender Care Services | Meals | 301 Gibson Dr, Roseville, CA 95678-5400 | 2019-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072916 | Halyna Kravets | Registered Nurse | 1402 W Colonial Pkwy, Roseville, CA 95661-5007 | 2020-07-31 |
| 1821617796 | Lisa Carrillo | Registered Nurse | 4332 Majestic Prince Way, Roseville, CA 95747-9627 | 2020-04-10 |
| 1053895821 | Sundog Enterprises | Registered Nurse | 2336 Lexington Ave N Ste L, Roseville, MN 55113-4343 | 2018-09-18 |
| 1033417852 | Brittany M Richards | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-03-02 |
| 1205134186 | Monica Seckerson | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-03-02 |
| 1861799967 | Sara Anne Schneider | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-25 |
| 1336446434 | Katie J Wirth | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-25 |
| 1134426489 | Rebecca Ann Delaney | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-23 |
| 1013214378 | Heather Marie Semler | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-23 |
| 1457658890 | Kelly Jane Judd | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-22 |
| Find all providers in ROSEVILLE | ||||
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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.