Patricia Alice Roach, MS, RN, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401714 Issued in NY

Practice address

1500 Genesee St
Utica, NY 13502-5104

Phone

(315) 735-9501

NPI assigned

Sep 15, 2014

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 NY

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 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Lora a Abraham LCSW PCGroup PAC ID 8325418064, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

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 and National Provider Directory roles.

• Lora a. Abraham, LCSW, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, NY
  • NPI 1316662281
  Medicare reassignment Care Compare group NPD
• Upstate Cerebral Palsy, Inc

  • Mental Health Counselor
  • Utica, NY
  • NPI 1780636506
  Medicare reassignment NPD
• Upstate Cerebral Palsy, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Utica, NY
  • NPI 1215098207
  NPD

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1194126771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025104",
            "telephone_number": "315-735-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025104",
            "telephone_number": "315-735-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "PATRICIA",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "MS, RN, NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of New York Inc
• Rite Aid of New York Inc
• Ashley Ritter
• RJ Anesthesia PLLC
• Karri L Roach, RN
• Erica Roark
• Donna L. Roback
• James Joseph Roback, DDS
• Robbys Bundle of Joy
• Amy L.M. Roberson, RPA-C

• Psychiatric/Mental Health Nurse Practitioner in Utica, NY
• Providers in Utica, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.