Active NPI
Christine Ellen Roach, M.S.
- Contractor
- Hilo, HI
National Provider Identifier
1265689772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 234 Waianuenue Ave
Suite 215
Hilo, HI 96720-2418 - Phone
- (808) 935-1211
- Fax
- (808) 935-5996
- NPI assigned
- Aug 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
234 Waianuenue Ave
Suite 215
Hilo, HI 96720-2418
Mailing address
234 Waianuenue Ave
Suite 215
Hilo, HI 96720-2418
Phone (808) 935-7949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1265689772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 WAIANUENUE AVE",
"address_2": "SUITE 215",
"city": "HILO",
"state": "HI",
"postal_code": "967202418",
"telephone_number": "808-935-7949",
"fax_number": "808-935-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 WAIANUENUE AVE",
"address_2": "SUITE 215",
"city": "HILO",
"state": "HI",
"postal_code": "967202418",
"telephone_number": "808-935-1211",
"fax_number": "808-935-5996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "CHRISTINE",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-26",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.