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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 58240 | WV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
210 BROOKS ST SUITE 200 |
City | CHARLESTON |
State | WV |
Zip Code | 25301-1855 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
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 |
Find all providers in zip 25301 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
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 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 25301 |
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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.