Individual provider Active NPI

Sherene Andrea Roach, A.R.N.P.

  • Pediatric Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1750468922
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2994522 Issued in FL
Practice address
5449 S Semoran Blvd Ste 14
Orlando, FL 32822-1778
Phone
(407) 322-8645
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2994522 FL Primary

Addresses

Primary practice location

5449 S Semoran Blvd Ste 14
Orlando, FL 32822-1778

Mailing address

940 Village TRL Apt 1-205
Port Orange, FL 32127-9383
Phone (386) 453-6490

Other practice location 1

1190 N Stone St
Deland, FL 32720-2511
Phone (386) 738-1792

Other practice location 2

1120 State Road 436
Casselberry, FL 32707-6100
Phone (407) 322-8645

Other practice location 3

4930 E Lake Mary Blvd
Sanford, FL 32771-5003
Phone (407) 322-8645

Other practice location 4

105 Main St
Enterprise, FL 32725-8138
Phone (407) 322-8645

Other identifiers 1

IdentifierTypeStateIssuer
305843300MedicaidFL

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2994522FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Center of West Volusia Past Accepting new patients
Community Medical Center of West Volusia PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shereneroach@cmcwv.allscriptsdirect.net

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1750468922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 VILLAGE TRL APT 1-205",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279383",
            "telephone_number": "386-453-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 S SEMORAN BLVD STE 14",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221778",
            "telephone_number": "407-322-8645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 N Stone St",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327202511",
            "country_code": "US",
            "telephone_number": "386-738-1792",
            "fax_number": "386-738-4865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 State Road 436",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327076100",
            "country_code": "US",
            "telephone_number": "407-322-8645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4930 E Lake Mary Blvd",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327715003",
            "country_code": "US",
            "telephone_number": "407-322-8645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Main St",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "FL",
            "postal_code": "327258138",
            "country_code": "US",
            "telephone_number": "407-322-8645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROACH",
        "first_name": "SHERENE",
        "middle_name": "ANDREA",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "2994522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305843300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.