Allison Roque

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

728611 Issued in CA

Practice address

1224 Hammond Dr NE Ste 1500
Atlanta, GA 30346-1537

Phone

(855) 485-8732

NPI assigned

Sep 17, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Learning and Autism Support Services, Inc.

  • Early Intervention Provider Agency
  • San Mateo, CA
  • NPI 1417139288
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1013491018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MIRALUNA DR",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940661765",
            "telephone_number": "916-749-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 HAMMOND DR NE STE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461537",
            "telephone_number": "855-485-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "728611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Root Integrative Health
• Rooted Energy Women'S Functional Health
• Rooted in Resilience Therapy LLC
• Ashley Roper, BSN, RN
• Julia Camden Roper
• Aaron Michael Rosado, MD, PHD
• Rosaleana'S Community Development Center Inc
• Rosalena'S Community Development Center Inc
• Lourdes Rosales-Guevara, M.D.
• Jessica Rosales

• Licensed Vocational Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Licensed Vocational Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.