CANDY E. ROACH


Address: 210 Brooks St, Suite 200, Charleston, WV 25301-1855
Phone: 3043881930

CANDY E. ROACH (NPI# 1962702621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962702621
Entity Type Individual
Full Name CANDY E. ROACH
Other Name CANDY E. DOLIN
Credential FNP-BC
Practice Address 210 Brooks St
Suite 200
Charleston
WV 25301-1855
Mailing Address 210 Brooks St 200
Charleston
WV 25301-1848
Practice Telephone 3043881930
Practice Fax Number 3043881929
Mailing Telephone 3043881930
Mailing Fax Number 3043881929
Enumeration Date 2010-10-28
Last Update Date 2015-12-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 58240 WV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 210 BROOKS ST
SUITE 200
City CHARLESTON
State WV
Zip Code 25301-1855

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346365418 William Aaron Ross Surgery 210 Brooks St, Suite 200, Charleston, WV 25301-1855 2007-03-20
1427306703 Jennifer Nicole Shouldis Nurse Practitioner 210 Brooks St, Suite 200, Charleston, WV 25301-1855 2012-08-17
1386889707 Jason Prigozen Plastic Surgery 210 Brooks St, Suite 200, Charleston, WV 25301-1855 2008-12-15
1336328467 John David Hayes Surgery 210 Brooks St, Suite 200, Charleston, WV 25301-1855 2007-10-25
1285853036 William A Wood Plastic Surgery 210 Brooks St, Suite 200, Charleston, WV 25301-1855 2007-04-24

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NPI Name Taxonomy Address Enumeration
1669087680 Kerrie Rena Harris Counselor 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 2020-09-15
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1104322320 Kara Caldwell Psychologist 333 Laidley St., 4'th Floor East, Charleston, WV 25301 2018-04-05
1740638022 Christina Phalen Pharmacy Technician 701 Lee Street East, Charleston, WV 25301 2016-05-27
1366867079 Brooke Powell Garnes Speech-Language Pathologist 1313 Quarrier Street, Suite A, Charleston, WV 25301 2014-03-04
1952648404 Implanted Pump Management, LLC Home Infusion 311 Laidley St., Suite 202, Charleston, WV 25301 2013-01-03
1730435108 Chaitanya Mishra Internal Medicine 501 Morris St Ste 357, Charleston, WV 25301 2012-08-03
1033477278 James Stephen Harman Neurological Surgery 415 Morris St Ste 400, Charleston, WV 25301 2012-04-25
1265674329 Howard and Howard Dental LLC Dentist 1321 Virginia St., Charleston, WV 25301 2009-04-03
1881856144 Steven David Hollosi Emergency Medicine 501 Morris St., Charleston, WV 25301 2008-06-27
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043842230 Lisa Ann Hahl Nurse Practitioner 30 Courtenay Drive Room 217, Msc 592, Charleston, SC 29425-8911 2020-02-06
1497394290 Allison Smith Nurse Practitioner 1001 Centre Way, Charleston, WV 25309-9427 2019-12-27
1770129553 Elizabeth Ashley Halicki Nurse Practitioner 96 Jonathan Lucas St Ste 420, Charleston, SC 29425-8900 2019-11-26
1144784919 Danielle Alyssa Paquette Nurse Practitioner 30 Courtenay Dr Suite 282 Msc 295, Charleston, SC 29425-0001 2019-01-25
1649752791 Ashley Catherine Waybright Nurse Practitioner 3100 Maccorkle Ave Se Ste 904, Charleston, WV 25304-1234 2018-09-05
1679069090 Jessica Ueda Nurse Practitioner 310 35th St Se Ste 11, Charleston, WV 25304-1352 2018-07-09
1215440169 Christine Michelle Delcioppo Nurse Practitioner 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 2017-11-14
1962913038 Kasey Brown Nurse Practitioner 830 Pennsylvania Ave Ste 110, Charleston, WV 25302-3389 2017-10-17
1841700440 Laura Cunnings Nurse Practitioner 202 Georgetown Pl, Charleston, WV 25314-1866 2017-10-09
1386163392 Primary Care At Home of West Virginia, LLC Nurse Practitioner 414 Greenway Ave Ste 201, Charleston, WV 25309-1475 2017-09-12
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Competitor

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City CHARLESTON
Zip Code 25301

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Dataset Information

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.

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