Jane Priscilla Roach, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R066995 Issued in MD

Practice address

2191 Defense Hwy
Suite 201
Crofton, MD 21114-2931

Phone

(410) 451-9091

Fax

(410) 451-9094

NPI assigned

Jan 30, 2007

Last updated

Feb 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Luminis Health Medical Group, LLC

  dba Luminis Health Maternal and Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Annapolis, MD
  • NPI 1073580205
  Medicare reassignment NPD
• Luminis Health Medical Group, LLC

  dba Annapolis Surgical Oncology Associates

  • Surgery Physician
  • Annapolis, MD
  • NPI 1649248485

  DC

  Medicare reassignment NPD
• Luminis Health Medical Group, LLC

  dba Arnold Family Medicine

  • Family Medicine Physician
  • Arnold, MD
  • NPI 1023085222
  NPD
• Luminis Health Medical Group, LLC

  dba AAMC's Women's Center for Pelvic Health

  • Obstetrics & Gynecology Physician
  • Annapolis, MD
  • NPI 1326211897
  NPD
• Luminis Health Medical Group, LLC

  dba LH Primary Care North Hanson

  • Internal Medicine Physician
  • Bowie, MD
  • NPI 1720835010
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1063559292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 DEFENSE HWY",
            "address_2": "SUITE 201",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142931",
            "telephone_number": "410-451-9091",
            "fax_number": "410-451-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 DEFENSE HWY",
            "address_2": "SUITE 201",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142931",
            "telephone_number": "410-451-9091",
            "fax_number": "410-451-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "JANE",
        "middle_name": "PRISCILLA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R066995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Grace Riddick
• Lindsay Riley
• Kurt Michael Rinehart
• Bethany Rios
• Inaya Rivera
• Dara Georgeann Robinette, M.S. CCC-SLP
• Mary Lee Robinson
• Samantha Robinson
• Amanda Robles, MA, LCPC
• Rock Kids Dental LLC (Rock Kids Dental)

• Pediatric Nurse Practitioner in Crofton, MD
• Providers in Crofton, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.