Elizabeth Roschek

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704256338 Issued in MI

Practice address

601 John St
Suite M-351
Kalamazoo, MI 49007-5341

Phone

(210) 865-8681

NPI assigned

Oct 13, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1780055012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 W ML AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099434",
            "telephone_number": "210-865-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "SUITE M-351",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "210-865-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSCHEK",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704256338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Rorie
• Gemechis Ayele Roro, PHARMACIST
• Jonathan Rosado
• Camryn Rosario
• Adriana Rosas, LMSW
• Eric Paul Rose, PA-C
• Katrina Rose
• Mary Catherine Rose, LLMSW
• Michi Rose, PH.D., MSW
• Sean Rose

• Pediatric Nurse Practitioner in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Pediatric Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.