Natasha Nicole Roush

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1336 Issued in AK

Practice address

17105 Park Place St
Eagle River, AK 99577-7821

Phone

(907) 240-9369

NPI assigned

Jun 6, 2007

Last updated

Oct 21, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1639372097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17105 PARK PLACE ST",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777821",
            "telephone_number": "907-240-9369",
            "fax_number": "907-622-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17105 PARK PLACE ST",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777821",
            "telephone_number": "907-240-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSH",
        "first_name": "NATASHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "1336",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00941482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enoch Ronduen, PHARMD
• Lynn Roschi, CNM
• Christopher Greg Rosenvall, D.D.S.
• Enoch Nathan Ross, DDS
• Leslie A Rost, M.S. CCC-SLP
• Kes-Sativa Meketta Cheyanne Roy
• Dylan Michael Rubinic, PT, DPT, ATC
• Janet M Runyan, M.S., LPC
• Catherine Karas Rutherford, PH.D.
• Tiana Rutherford

• Clinical Social Worker in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.