MS. KATHY JEAN ROAN (NPI# 1962540005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962540005 |
| Entity Type | Individual |
| Full Name | MS. KATHY JEAN ROAN |
| Credential | APRN, FNP |
| Practice Address |
524 S Ryan St Lake Charles LA 70601-5725 |
| Mailing Address |
304 Orchard Dr Lake Charles LA 70605-4446 |
| Practice Telephone | 3374970233 |
| Mailing Telephone | 3374771260 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN026107 | LA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1561134 | 05 |
| Street Address |
524 S RYAN ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518949460 | Larry Allen Hauskins | Radiology | 524 S Ryan St, Regional Cancer Center, Lake Charles, LA 70601-5725 | 2005-11-16 |
| 1952521296 | Jennifer E Authement | Dietitian, Registered | 524 S Ryan St, Lake Charles, LA 70601-5725 | 2007-04-27 |
| 1588784649 | Christus Health Southwestern Louisiana | General Acute Care Hospital | 524 S Ryan St, Lake Charles, LA 70601-5725 | 2007-03-30 |
| 1194869206 | Larry A. Hauskins, Md | Radiology | 524 S Ryan St, Lake Charles, LA 70601-5725 | 2007-02-20 |
| 1174611768 | Dubuis Health System, Inc. | Long Term Care Hospital | 524 S Ryan St, 5th Floor, Lake Charles, LA 70601-5725 | 2006-10-10 |
| 1447363858 | Donna Richard Levy | Nurse Practitioner | 524 S Ryan St, Lake Charles, LA 70601-5725 | 2006-08-17 |
| 1750327540 | Christopher P Ferguson | Emergency Medicine | 524 S Ryan St, Lake Charles, LA 70601-5725 | 2006-06-21 |
| 1700822400 | Charmaine Lemaire | Emergency Medicine | 524 S Ryan St, Lake Charles, LA 70601-5725 | 2006-06-21 |
| 1619911682 | John M Burton | Emergency Medicine | 524 S Ryan St, Lake Charles, LA 70601-5725 | 2006-06-16 |
| 1154365120 | William G Hathaway IIi | Emergency Medicine | 524 S Ryan St, Lake Charles, LA 70601-5725 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342178 | Amie Elise Hutchinson | Registered Nurse | 32645 N Corbin Rd, Walker, LA 70785-4609 | 2020-09-25 |
| 1629682372 | Brooke Leigh Smith | Registered Nurse | 12555 Brown Rd, Denham Springs, LA 70726-6931 | 2020-09-01 |
| 1861002420 | Julie A Purvis | Registered Nurse | Albany Middle, 29675 Reeves, Albany, LA 70711 | 2020-08-07 |
| 1306456231 | Jinci Strahan | Registered Nurse | 24495 La-16, Denham Springs, LA 70726 | 2020-08-05 |
| 1699385997 | Tonya Maher | Registered Nurse | 133 N Summers St, Denham Springs, LA 70726-3526 | 2020-08-03 |
| 1356951602 | Charlotte Dupuy Prudhomme | Registered Nurse | 24145 Coats Rd, Springfield, LA 70462-8119 | 2020-08-02 |
| 1467061366 | Susan J Harrell | Registered Nurse | 11300 Hwy 1033, Denham Springs, LA 70726-7072 | 2020-07-27 |
| 1528677762 | Sharmon P Thompson | Registered Nurse | 29777 South Montpelier Road, Albany, LA 70711 | 2020-07-23 |
| 1487283438 | Heather Leigh Restivo | Registered Nurse | 408 S Gatehouse Dr Apt A, Metairie, LA 70001-7825 | 2020-04-02 |
| 1083060735 | Jacqueline Juneau Milazzo | Registered Nurse | 7231 Frontier Dr, Greenwell Springs, LA 70739-3024 | 2016-05-12 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on MS. KATHY JEAN ROAN.
| 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.