Lisa Harriett Roe, BA MA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

6600 W Charleston Blvd Ste 121
Las Vegas, NV 89146-9237

Phone

(702) 228-6215

NPI assigned

Jul 31, 2018

Last updated

Jul 31, 2018By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Master of Arts

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1265910301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 W CHARLESTON BLVD STE 121",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469237",
            "telephone_number": "702-228-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W CHARLESTON BLVD STE 121",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469237",
            "telephone_number": "702-228-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "LISA",
        "middle_name": "HARRIETT",
        "credential": "BA MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Williams Roe, CNIM
• Destiny Lee Roe
• Emily Marie Roe
• Jason John Roe, LAT, ATC, CMT
• Jessica Roe
• Tammy Denise Roe, PA - C
• Rhyasin John Roebuck
• Lusine Roeder
• Roehl T Pena MD
• Casey Allan Roehr

• Athletic Trainer in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Athletic Trainer in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.