Individual provider Active NPI

Laura Roche, NP-C

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1639455926
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-114749 Issued in AL
Practice address
2204 Whitesburg Dr SW Ste 300
Huntsville, AL 35801-4523
Phone
(281) 725-2637
Fax
(866) 717-6708
NPI assigned
Oct 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 770026 TX
Family Nurse Practitioner 363LF0000X 1-114749 AL Primary

Addresses

Primary practice location

2204 Whitesburg Dr SW Ste 300
Huntsville, AL 35801-4523

Mailing address

2204 Whitesburg Dr SW Ste 300
Huntsville, AL 35801-4523
Phone (281) 725-2637

Other practice location 1

540 Hughes Rd
Madison, AL 35758-8999
Phone (256) 456-5971

Other identifiers 1

IdentifierTypeStateIssuer
1639455926OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-114749ALMDFamily Nurse Practitioner
770026TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whiteglove Medical Care - NJ, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laura.roche@215171231252484.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1639455926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 WHITESBURG DR SW STE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014523",
            "telephone_number": "281-725-2637",
            "fax_number": "866-717-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 WHITESBURG DR SW STE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014523",
            "telephone_number": "281-725-2637",
            "fax_number": "866-717-6708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Hughes Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357588999",
            "country_code": "US",
            "telephone_number": "256-456-5971",
            "fax_number": "256-583-9163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "LAURA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "770026",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-114749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639455926",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.