MRS. STACEY J ROACH
NPI 1336417559
Licensed Practical Nurse in Norwich, NY

Active since December 02, 2011
2 RIDGELAND RD, NORWICH, NY 13815(607) 334-1600(607) 334-4193 Get Directions Write a Review

NPPES record last updated: December 2, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Stacey J Roach NPPES

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

MRS. STACEY J ROACH (NPI 1336417559) is an individual licensed practical nurse in Norwich, New York, licensed in New York (2956191) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1336417559
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. STACEY J ROACH
Location Address2 RIDGELAND RDNorwich, NY 13815-1245
Mailing Address2 Ridgeland RdNorwich, NY 13815-1245 · (607) 334-1600 · Fax (607) 334-4193
Fax(607) 334-4193
Sole ProprietorNo
Enumeration DateDecember 2, 2011
✔ NPI 1336417559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 2956191
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2 RIDGELAND RD, Norwich, NY 13815

Other Providers at the Same Location NPPES

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

Registered Nurse (School)
2 RIDGELAND RD
NORWICH, NY 13815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Roach's NPI number?

The NPI number for Stacey Roach is 1336417559. It was assigned to this individual provider in the NPPES registry on December 2, 2011.

Where is Stacey Roach located?

Stacey Roach practices at 2 Ridgeland Rd, Norwich, NY 13815. The listed phone number is (607) 334-1600.

What is Stacey Roach's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stacey Roach was last updated on December 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.