ADAM ROLLER APRN NPI 1194143537

NPI Information

NPI: 1194143537
Provider Name: ADAM ROLLER, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
91-1001 KAIMALIE ST STE 201B
EWA BEACH, HI
ZIP 96706
Phone: (808) 762-0026
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Adam Roller, APRN is a psychiatric/mental health nurse practitioner in Ewa Beach, HI with 12 years of experience. Adam Roller, APRN NPI is 1194143537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduation Year:2012

The provider's business location address is:

91-1001 KAIMALIE ST STE 201B
EWA BEACH, HI
ZIP 96706-250
Phone: (808) 762-0026
Fax: (808) 427-9397

The NPI 1194143537 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 4/2/2014 and was last updated on 2/13/2023.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN-1711	HAWAII	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	APRN-1711	HAWAII	No

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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