Heidi Roach, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

3475 Erwin Rd
Durham, NC 27705-0005

Phone

(919) 684-0493

NPI assigned

Jun 8, 2017

Last updated

Jun 8, 2017By 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

Other names 1

• Heidi Brigham Former name

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1376072868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11217 N RADNER WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135531",
            "telephone_number": "860-625-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277050005",
            "telephone_number": "919-684-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "HEIDI",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "BRIGHAM",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theresa Charbel Rizk, MD
• Joseph Steven Rizzolo, LCSW-A
• RLS Optical, Inc.
• Teresa Ro, MD
• Abby Roach
• Leslie Roach
• Michelle Lee Roach, LPC
• Stephen Roach
• Theresa Louise Roach, NNP-BC
• Laquasha D'Neka Roache, FULL SPECTRUM DOULA

• Athletic Trainer in Durham, NC
• Providers in Durham, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.