Active NPI
Catherine Ann Roche, ARNP
- Pediatric Nurse Practitioner
- Davenport, IA
National Provider Identifier
1871928093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- C117430
- Practice address
- 5510 Utica Ridge Rd
Suite 100
Davenport, IA 52807-2946 - Phone
- (563) 424-2025
- Fax
- (563) 424-2042
- NPI assigned
- Sep 6, 2013
- 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 | C117430 | IA | Primary |
Addresses
Primary practice location
5510 Utica Ridge Rd
Suite 100
Davenport, IA 52807-2946
Mailing address
5510 Utica Ridge Rd
Suite 100
Davenport, IA 52807-2946
Phone (563) 424-2025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151008001267 | IA | Practitioner - Nurse Practitioner | 5890003099 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Pediatric Group Associates, SC | Past | Accepting new patients |
Interoperability endpoints
- croche157490@direct.unitypoint.org
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.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Pediatrics Physician
- Moline, IL
- NPI 1114987252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1871928093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 UTICA RIDGE RD",
"address_2": "SUITE 100",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072946",
"telephone_number": "563-424-2025",
"fax_number": "563-424-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 UTICA RIDGE RD",
"address_2": "SUITE 100",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072946",
"telephone_number": "563-424-2025",
"fax_number": "563-424-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHE",
"first_name": "CATHERINE",
"middle_name": "ANN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-06",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IA",
"license": "C117430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.