Destiny Roach

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

225106 Issued in WI

Practice address

4705 Cottage Grove Rd Apt 210
Madison, WI 53716-1339

Phone

(608) 335-8530

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1902352529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 COTTAGE GROVE RD. APT 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 COTTAGE GROVE RD APT 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161339",
            "telephone_number": "608-335-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "DESTINY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "225106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janet Rizzo, RPH
• RNL Wellness Company (Fyzical Therapy & Balance Centers)
• Jesse Roach, M.D.
• Lauren Roach, DO
• Daniel Francis Roadman, MD
• Diane Roang, ICSW
• Robb a Warren DDS SC (Warren Family Dental)

• Registered Nurse in Madison, WI
• Providers in Madison, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.