STACI ROARK BSN, RN, CA/CP SANE - NPI 1023824075 - Registered Nurse in Lubbock, TX

Q: What is Staci Roark's NPI number?

The NPI number for Staci Roark is 1023824075. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Q: What is Staci Roark's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

Q: When was this NPI record last updated?

The NPPES record for Staci Roark was last updated on December 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Staci Roark Bsn, Rn, Ca/cp Sane NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACI ROARK BSN, RN, CA/CP SANE (NPI 1023824075) is an individual critical care medicine provider in Lubbock, Texas, licensed in Texas (1087531) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1023824075

Entity TypeIndividualFemale

Primary Taxonomy163WC0200X

Provider Legal NameSTACI ROARKCredential: BSN, RN, CA/CP SANE

Location Address602 INDIANA AVELubbock, TX 79415-3364

Mailing Address602 Indiana AveLubbock, TX 79415-3364 · (806) 775-9700

Phone(806) 775-9700

Sole ProprietorYes

Enumeration DateDecember 5, 2024

NPPES CertifiedDecember 5, 2024

✔ NPI 1023824075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers

Taxonomy Code163WC0200X

License✔ Licensed in TX · 1087531

602 INDIANA AVE, Lubbock, TX 79415

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEERAPONG LILITWAT MD

Pediatrics (Pediatric Critical Care Medicine)