Alicia Marie Roane, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

University of Notre Dame
C113 Joyce Center - Sports Medicine
Notre Dame, IN 46556

Phone

(574) 631-7100

Fax

(574) 631-3305

NPI assigned

Jun 28, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174550677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF NOTRE DAME",
            "address_2": "C113 JOYCE CENTER - SPORTS MEDICINE",
            "city": "NOTRE DAME",
            "state": "IN",
            "postal_code": "46556",
            "telephone_number": "574-631-7100",
            "fax_number": "574-631-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF NOTRE DAME",
            "address_2": "C113 JOYCE CENTER - SPORTS MEDICINE",
            "city": "NOTRE DAME",
            "state": "IN",
            "postal_code": "46556",
            "telephone_number": "574-631-7100",
            "fax_number": "574-631-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROANE",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Moriarity, MD
• Rebecca Elaine Moskwinski, M.D.
• Joy I Ogrady, ACSW / LMFT
• Isabela Kae Petitgout, MSW
• Premise Health of Indiana Medical PC
• Lisa Renee Roeder, MD
• Jeffrey Ruser, PH.D.
• Jim Russ
• Renee Schutze, DNP, FNP-C
• Meghan Haid Sterling, DPT

• All providers in Notre Dame, IN
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.