Diane Roach, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

NM02342 Issued in OH

Practice address

3440 Burnett Ave.
Ste. 120
Cincinnati, OH 45229-2833

Phone

(513) 751-5900

Fax

(513) 487-4596

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• University of Cincinnati Medical Center, LLC

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1255352068

  Advanced Practice Midwife

  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1902846876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 WESLEY AVENUE",
            "address_2": "STE. N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122274",
            "telephone_number": "513-569-6422",
            "fax_number": "513-569-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 BURNETT AVE.",
            "address_2": "STE. 120",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292833",
            "telephone_number": "513-751-5900",
            "fax_number": "513-487-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "DIANE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "NM02342",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "RN209167",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801850",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78009529",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RKNF Internal Medicine LLC, Dba Midwest Medical Group
• RN and Associates
• Aleksandar Rnjak, DCC
• Benjamin Joseph Roa, CNP
• Jessica Ann Roa
• Elena M. Roach, CPNP
• Jessica Anne Roach, ACPNP
• Kaitlyn Roach
• Matthew Roach
• Phoebe Roache

• Advanced Practice Midwife in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Advanced Practice Midwife in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.