Carolyn Irene Roe, N. P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Practice address

2231 Catlin Ave
Superior, WI 54880-5137

Phone

(715) 394-4117

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609850866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 W 7TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558061535",
            "telephone_number": "218-722-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 CATLIN AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805137",
            "telephone_number": "715-394-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "CAROLYN",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "N. P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 088575-9",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2291-033",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Van Richards, MD
• Brian G Riddle, MD
• Ridgewood Recovery, Inc. (The Superior Treatment Center)
• Benjamin Thomas Riebe, DDS
• Mary K Robinson, LICSW
• Anne Leslie Roeser, LICSW
• Jennifer Rosnau
• Celia Rae Ross, MSED, LPC
• Kelsey Rubatt, OTR
• Jennifer Ruona, LPCC

• Family Nurse Practitioner in Superior, WI
• Providers in Superior, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.