SARAH ELIZABETH ROACH MS APRN FNP-BC NPI 1245908052

NPI Information

NPI: 1245908052
Provider Name: SARAH ELIZABETH ROACH, MS, APRN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
401 CAYUGA PARK LN STE 201
ITHACA, NY
ZIP 14850
Phone: (607) 277-4341
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Sarah Elizabeth Roach, MS, APRN, FNP-BC is a family nurse practitioner in Ithaca, NY with 3 years of experience. Sarah Elizabeth Roach, MS, APRN, FNP-BC NPI is 1245908052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2021

The provider's business location address is:

401 CAYUGA PARK LN STE 201
ITHACA, NY
ZIP 14850-180
Phone: (607) 277-4341
Fax: (607) 216-0918

The NPI 1245908052 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 9/6/2021 and was last updated on 3/21/2024.

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		854538	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	350479	NEW YORK	Yes

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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