MICHELLE L ROACH CPNP NPI 1013915727

NPI Information

  • NPI: 1013915727
  • Provider Name: MICHELLE L ROACH, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 2401 GILLHAM RD
    KANSAS CITY, MO
    ZIP 64108
  • Phone: (816) 234-3080

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NPI Details

Michelle L Roach, CPNP is a pediatrics nurse practitioner in Kansas City, MO. Michelle L Roach, CPNP NPI is 1013915727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108-619
Phone: (816) 234-3080
Fax: (816) 983-6633

The enumeration date for this NPI number is 7/7/2005 and was last updated on 12/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics121088MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1073571OTHERFAMILY HEALTH PARTNERS
2428512339MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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