Kathleen A Roach, RN PHN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

292634 Issued in CA

Practice address

100 6TH Street
Point Reyes, CA 94956

Phone

(415) 473-3808

Fax

(415) 473-3828

NPI assigned

Dec 26, 2007

Last updated

Dec 26, 2007By 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

Registered Nurse

State licenses

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1346424496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "city": "POINT REYES",
            "state": "CA",
            "postal_code": "94956",
            "telephone_number": "415-473-3808",
            "fax_number": "415-473-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 6TH STREET",
            "city": "POINT REYES",
            "state": "CA",
            "postal_code": "94956",
            "telephone_number": "415-473-3808",
            "fax_number": "415-473-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "292634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Elizabeth Bourne, MD
• Mary R Clark, FNP, CNM
• Theresa Elaine
• Linda Mulvany
• Angelo Anthony Sacheli I, BS

• Case Management Registered Nurse in Point Reyes, CA
• Providers in Point Reyes, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.