Active NPI
Rachel C Roller, CRNA
- Certified Registered Nurse Anesthetist
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024193694
- Practice address
- 601 Med Tech Pkwy
Johnson City, TN 37604-2253 - Phone
- (423) 610-1020
- NPI assigned
- Aug 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN0000122629 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024193694 | VA | Primary |
Addresses
Primary practice location
601 Med Tech Pkwy
Johnson City, TN 37604-2253
Mailing address
1009 Lark St Ste 2
Johnson City, TN 37604-8218
Phone (423) 283-0776
Other practice location 1
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3631531 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 489-6353
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 853-0222
Hospital & facility affiliations
- Carilion Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10778 | TN | MD | Physical Therapist |
| RN0000122629 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Advanced Anesthesia Solutions Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology Group of Tennessee, P. C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
320 Bristol West Blvd
Ste 1A
Bristol, TN 37620
Phone (423) 758-1030
Dept 888618
Knoxville, TN 37995
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Roanoke, VA
- NPI 1184634156
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bristol, TN
- NPI 1164772109
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1114927738
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1790777084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 LARK ST STE 2",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376048218",
"telephone_number": "423-283-0776",
"fax_number": "423-968-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 MED TECH PKWY",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042253",
"telephone_number": "423-610-1020"
}
],
"practiceLocations": [
{
"address_1": "1906 Belleview Ave SE",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240141838",
"country_code": "US",
"telephone_number": "540-981-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLLER",
"first_name": "RACHEL",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN0000122629",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024193694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3631531",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.