Active NPI
Sherene Andrea Roach, A.R.N.P.
- Pediatric Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 2994522
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305843300 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2994522 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Center of West Volusia | Past | Accepting new patients | |
| Community Medical Center of West Volusia PA | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Rural Health Clinic/Center
- Deland, FL
- NPI 1619046927
-
- Rural Health Clinic/Center
- Deland, FL
- NPI 1861579104
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.