Active NPI
Tiffany Rachelle Roe, MS, ATC
- Athletic Trainer
- Bellefontaine, OH
National Provider Identifier
1760241657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT004997
- Practice address
- 205 E Palmer Rd
Bellefontaine, OH 43311-2281 - Phone
- (937) 599-1280
- NPI assigned
- Mar 14, 2024
- Last updated
- Mar 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT004997 | OH | Primary |
Addresses
Primary practice location
205 E Palmer Rd
Bellefontaine, OH 43311-2281
Mailing address
2917 Bible Dr
Bellefontaine, OH 43311-9158
Phone (937) 844-0363
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT004997 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1760241657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 BIBLE DR",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433119158",
"telephone_number": "937-844-0363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E PALMER RD",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433112281",
"telephone_number": "937-599-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROE",
"first_name": "TIFFANY",
"middle_name": "RACHELLE",
"credential": "MS, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT004997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellefontaine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.