NICOLE ELIZABETH ROEBUCK N.P. NPI 1144623224

NPI Information

NPI: 1144623224
Provider Name: NICOLE ELIZABETH ROEBUCK, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2080 W ARLINGTON BLVD STE B
GREENVILLE, NC
ZIP 27834
Phone: (252) 752-2140
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Nicole Elizabeth Roebuck, N.P. is a family nurse practitioner in Greenville, NC with 10 years of experience. Nicole Elizabeth Roebuck, N.P. NPI is 1144623224. 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:

2080 W ARLINGTON BLVD STE B
GREENVILLE, NC
ZIP 27834-770
Phone: (252) 752-2140
Fax: (252) 689-6502

The NPI 1144623224 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2014 and was last updated on 4/20/2021.

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
1	163W00000X	Registered Nurse		241719	NORTH CAROLINA	No
2	363L00000X	Nurse Practitioner		241719	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	5007225	NORTH CAROLINA	Yes

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
1	19A2P	OTHER	NORTH CAROLINA	BCBS NC
2	1144623224	MEDICAID	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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