MRS. STACEY J ROACH NPI 1336417559

NPI Information

  • NPI: 1336417559
  • Provider Name: MRS. STACEY J ROACH
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 2 RIDGELAND RD
    NORWICH, NY
    ZIP 13815
  • Phone: (607) 334-1600

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NPI Details

MRS. Stacey J Roach is a licensed practical nurse in Norwich, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MRS. Stacey J Roach NPI is 1336417559. 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:

2 RIDGELAND RD
NORWICH, NY
ZIP 13815-245
Phone: (607) 334-1600
Fax: (607) 334-4193

The enumeration date for this NPI number is 12/2/2011 and was last updated on 12/2/2011.

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
1164W00000XLicensed Practical Nurse2956191NEW YORKYes

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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