Letitia Roark

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA200027 Issued in KY

Practice address

1140 Lexington Rd
Georgetown, KY 40324-9330

Phone

(502) 868-1100

NPI assigned

Mar 12, 2026

Last updated

Mar 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1730036310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5804",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403625804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-868-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "LETITIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": "SA200027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William W. Richardson II, M.D.
• Allison Riddle
• Jennifer S. Riebel, M.D.
• Morgan N Riley, APRN
• Steven Riley
• Gregory Ladon Robbins, M.D.
• Robert C. Culbertson, M.D., P.S.C.
• Ronald Earl Roberts Jr., M.D.
• Tracy Anne Robinson, PA-C
• Ann Marie Rodden, DO

• Surgical Assistant in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Surgical Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.