Active NPI
Denise C. Roof, CRNA
- Certified Registered Nurse Anesthetist
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3003942
- Practice address
- 225 Medical Center Dr
Suite 308
Paducah, KY 42003-7914 - Phone
- (270) 441-4750
- Fax
- (270) 441-4770
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3003942 | KY | Primary |
Addresses
Primary practice location
225 Medical Center Dr
Suite 308
Paducah, KY 42003-7914
Mailing address
225 Medical Center Dr
Suite 308
Paducah, KY 42003-7914
Phone (270) 441-4750
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74006040 | Medicaid | KY | |
| P00279351 | Other | RAILROAD MEDICARE | |
| 000000361142 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3003942 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Care Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Digestive Care of Evansville PC | Past | Accepting new patients |
Locations
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
801 Saint Marys Dr
Ste 205
Evansville, IN 47714
Phone (812) 477-6103
801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103
647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 477-6103
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
- South Bend, IN
- NPI 1073899449
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
IN, Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Newburgh, IN
- NPI 1376751891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1962596742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MEDICAL CENTER DR",
"address_2": "SUITE 308",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037914",
"telephone_number": "270-441-4750",
"fax_number": "270-441-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MEDICAL CENTER DR",
"address_2": "SUITE 308",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037914",
"telephone_number": "270-441-4750",
"fax_number": "270-441-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOF",
"first_name": "DENISE",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3003942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74006040",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00279351",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000361142",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.