Rebecca J Roche, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

131550 Issued in OH

Practice address

90 Jackson Pike
Holzer Clinic
Gallipolis, OH 45631

Phone

(740) 446-5890

Fax

(740) 446-5982

NPI assigned

Sep 19, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chillicothe Anesthesia Associates Inc

  • Anesthesiology Physician
  • Chillicothe, OH
  • NPI 1902806789
  NPD (past)
• Hocking Valley Medical Group, Inc.

  • Family Medicine Physician
  • Logan, OH
  • NPI 1801994827
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1679568489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 JACKSON PIKE",
            "address_2": "HOLZER CLINIC INC.",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "45631",
            "telephone_number": "740-446-5890",
            "fax_number": "740-446-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 JACKSON PIKE",
            "address_2": "HOLZER CLINIC",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "45631",
            "telephone_number": "740-446-5890",
            "fax_number": "740-446-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "131550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0756347",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Hudak Robert Hudak
• Emily Dawn Roberts, CDCA
• Michael Robie, LSW
• Robinson Family Enterprises, Inc.
• Terri Lee Robinson, CDCA
• Travis Dale Rodgers
• Dalton Rollison, DO
• Clyde Rorrer, DO
• Karen Rose
• Matthew William Rosenberg, M.D.

• Certified Registered Nurse Anesthetist in Gallipolis, OH
• Providers in Gallipolis, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.