Stacie Roles, R.N.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

R154615 Issued in MD

Practice address

1501 S Clinton St
Baltimore, MD 21224-5730

Phone

(410) 241-8048

NPI assigned

Apr 4, 2016

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265895403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S CLINTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245730",
            "telephone_number": "410-241-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CLINTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245730",
            "telephone_number": "410-241-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLES",
        "first_name": "STACIE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R154615",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MD",
            "license": "R154615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Charles Roland, MD
• Tamika Roland, LCPC
• Rolando B. Alegado MD PA
• Latasha Genell Roles, LGPC
• Sheree Lynette Roles, ADT
• Madison Blaire Rolf, AU.D.
• Ernest Roll, LCPC
• Jean Luc Rolland, MD STUDENT
• Sarah Maria Rollison, CRNA
• Cynthia M Rollo, LCSW-C

• Case Manager/Care Coordinator in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.