Mary A Roche, APRN NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

001332 Issued in CT

Practice address

499 Farmington Avenue
Suite 220
Farmington, CT 06032

Phone

(860) 678-7300

Fax

(860) 677-2693

NPI assigned

Sep 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1356432876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 FARMINGTON AVENUE",
            "address_2": "SUITE 220",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06032",
            "telephone_number": "860-678-7300",
            "fax_number": "860-677-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 FARMINGTON AVENUE",
            "address_2": "SUITE 220",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06032",
            "telephone_number": "860-678-7300",
            "fax_number": "860-677-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APRN NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "CT",
            "license": "001332",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CT",
            "license": "001332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004226850",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter J Robinson, DDS
• Flor De Maria Robles Mijangos, D.D.S
• Ana Lucia Roca, DDS
• Brianna Rocha
• Camila Rocha
• Carolyn Ann Roderick, PHYSICIANS ASSISTANT
• Craig M Rodner, MD
• Bernardo Mota Costa Rodrigues, M.D.
• Sonali Ann Rodrigues, MD
• Daniel Rodriguez

• Women's Health Nurse Practitioner in Farmington, CT
• Providers in Farmington, CT by specialty
• Women's Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.