Kristen Marie Roach, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5019331 Issued in NC

Practice address

50 Hospital Dr Ste 5D
Hendersonville, NC 28792-5247

Phone

(828) 650-8032

Fax

(828) 650-8033

NPI assigned

Sep 13, 2012

Last updated

Mar 26, 2024By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kroach3084249@adventhealth.direct-ci.com

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

• Fletcher Hospital Inc.

  dba AdventHealth Hendersonville

  • Rural Acute Care Hospital
  • Hendersonville, NC
  • NPI 1427075027
  Medicare reassignment NPD
• Fletcher Hospital Inc

  dba AdventHealth Family Medicine & Behavioral Health Clinic Saluda

  • Rural Health Clinic/Center
  • Saluda, NC
  • NPI 1376371880
  NPD
• Fletcher Hospital Inc.

  dba AdventHealth

  • Family Medicine Physician
  • Hendersonville, NC
  • NPI 1477995124
  NPD
• Shawnee Mission Medical Center Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Merriam, KS
  • NPI 1992735690
  NPD (past)

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1649520081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL DR STE 5D",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925247",
            "telephone_number": "828-650-8032",
            "fax_number": "828-650-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "662712",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5019331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "662712",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin M Riley, LCSW
• Ripley Drug Inc (Ripley Drug and Compounding at Blue Sky MD Hendersonville)
• Jessica Ashleigh Risher, MPT
• Frank W Ritz, PA-C
• Colleen Roseann Rivers, RD, LDN
• Hannah Robbins, LCSW, LCAS
• Starr Renee Roberts, LMHC,LPC
• Ann Louise Robinette, MSN, PMHCNS-BC
• Jessika Ann Robinson, FNP-C
• Yolanda Marie Robinson, DSW, LCSW-C

• Pediatric Nurse Practitioner in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.