STEPHANIE RENEE ROACH FNP NPI 1275820599

NPI Information

  • NPI: 1275820599
  • Provider Name: STEPHANIE RENEE ROACH, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2020 BROOKSIDE DR
    SUITE 20
    KINGSPORT, TN
    ZIP 37660
  • Phone: (423) 247-7030

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NPI Details

Stephanie Renee Roach, FNP is a family nurse practitioner in Kingsport, TN with 16 years of experience. Stephanie Renee Roach, FNP NPI is 1275820599. 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:

2020 BROOKSIDE DR
SUITE 20
KINGSPORT, TN
ZIP 37660-633
Phone: (423) 247-7030
Fax: (423) 247-7033

The NPI 1275820599 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Automated urinalysis test (HCPCS:81003)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)

The enumeration date for this NPI number is 7/7/2011 and was last updated on 7/7/2011.

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
1363LF0000XNurse PractitionerFamily15751TENNESSEEYes

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: 11/21/2025

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