Michelle Roller

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

709 Davidson St
Tullahoma, TN 37388-3607

Phone

(931) 652-7052

NPI assigned

May 16, 2011

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

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1366735920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 DAVIDSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 DAVIDSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883607",
            "telephone_number": "931-652-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cason J Roberson, DMD, MS
• William Edward Roberts
• Jeanne S Robinson, MS, LPC,MHSP
• Byron K Robison, MD
• Rocky Mountain Holdings, LLC
• Vallerie Annesther Rose, RN
• Janice Ross
• Shawn P. Ross, CRNA
• Charla Nicole Ruble, BA
• Alexis K Russell, SLP-CCC

• All providers in Tullahoma, TN
• Community Health Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.