ALYSSA KIARA ROACH PA-C NPI 1528974060

NPI Information

  • NPI: 1528974060
  • Provider Name: ALYSSA KIARA ROACH, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 21 GRAND ST
    HARTFORD, CT
    ZIP 06106
  • Phone: (860) 550-7500

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NPI Details

Alyssa Kiara Roach, PA-C is a medical physician assistant in Hartford, CT. Alyssa Kiara Roach, PA-C NPI is 1528974060. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21 GRAND ST
HARTFORD, CT
ZIP 06106-541
Phone: (860) 550-7500

The enumeration date for this NPI number is 8/24/2026 and was last updated on 8/24/2026.

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
1363AM0700XPhysician AssistantMedical7902CONNECTICUTYes

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

NPI Synchronization or Removal

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