LISA R ROLES (NPI# 1902966799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902966799 |
| Entity Type | Individual |
| Full Name | LISA R ROLES |
| Credential | PTA |
| Practice Address |
3875 Robert C Byrd Dr Beckley WV 25801 |
| Mailing Address |
Po Box 1324 Sophia WV 25921-1324 |
| Practice Telephone | 3042531960 |
| Practice Fax Number | 3042533080 |
| Mailing Telephone | 3046839741 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 001053 | WV | Other Service Providers |
| Street Address |
3875 ROBERT C BYRD DR |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083106132 | Shereilla Hearn | Counselor | 3875 Robert C Byrd Dr, Beckley, WV 25801-2964 | 2018-06-05 |
| 1588156632 | James Tate | Counselor | 3875 Robert C Byrd Dr, Beckley, WV 25801-2964 | 2018-06-05 |
| 1376035436 | Mital Patel | Counselor | 3875 Robert C Byrd Dr, Beckley, WV 25801-2964 | 2018-06-05 |
| 1164669537 | Quality Physical Therapy, LLC | Physical Therapist | 3875 Robert C Byrd Dr, Beckley, WV 25801-2964 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538572474 | Eulanda Saunders | Specialist | 3049 Robert C. Byrd Dr., Ste 340, Beckley, WV 25801 | 2014-06-09 |
| 1801137104 | Charles F Bou-abboud Md Pllc | Specialist | 58 Brookshire Ln, Beckley, WV 25801-6765 | 2013-03-12 |
| 1841522620 | Responsible Pain & Aesthetic Management | Specialist | 310 George St., Beckley, WV 25801 | 2010-02-04 |
| 1275687402 | Adnan N. Silk | Specialist | 1902 Harper Rd Ste A, Beckley, WV 25801-2642 | 2007-01-23 |
| 1285785451 | Dee-dee Daniel | Specialist | 2233 S Kanawha St, Beckley, WV 25801-6719 | 2007-01-15 |
| 1720167687 | Ali Ahmad Suleiman | Specialist | 242 George St, Beckley, WV 25801-2641 | 2006-11-03 |
| 1861575839 | P.c. Corro M.d., Inc | Specialist | 251 Stanaford Rd, Beckley, WV 25801-3139 | 2006-10-23 |
| 1003911074 | Ahmad Ayman Khiami | Specialist | 110 Professional Park, Beckley, WV 25801-3623 | 2006-09-14 |
| 1063454767 | Emmit Rusell Worley Jr. | Specialist | 116 Crown St, Beckley, WV 25801-9328 | 2006-06-10 |
| 1720057912 | Linda K Mills Counseling Services | Specialist | 1206 S Kanawha St, Unit 2, Beckley, WV 25801-5610 | 2006-03-17 |
| Find all providers in BECKLEY | ||||
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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.