TABITHA LOUISE ROACH APRN
NPI 1336761253
Nurse Practitioner - Psychiatric/Mental Health in Fort Knox, KY

Q: What is Tabitha Roach's NPI number?

The NPI number for Tabitha Roach is 1336761253. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Q: What is Tabitha Roach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tabitha Roach was last updated on June 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 13, 2020PECOS Enrolled

200 BRULE ST, FORT KNOX, KY 40121(502) 626-9891(502) 626-6140 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 26, 2025, Feb 9, 2022, Aug 20, 2021 and 2 more (5 updates tracked since 2020).

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About Tabitha Louise Roach Aprn NPPES

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

TABITHA LOUISE ROACH APRN (NPI 1336761253) is an individual psychiatric/mental health provider in Fort Knox, Kentucky, licensed in Kentucky (3015334) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336761253

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTABITHA LOUISE ROACHCredential: APRN

Location Address200 BRULE STFort Knox, KY 40121-6100

Mailing Address200 Brule StFort Knox, KY 40121-6100 · (502) 626-9891 · Fax (502) 626-6140

Phone(502) 626-9891

Fax(502) 626-6140

Sole ProprietorNo

Enumeration DateMay 13, 2020

Last NPPES UpdateJune 26, 20255 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1336761253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in KY · 3015334✔ Licensed in IN · 71012162A

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 1136348 (KY)

200 BRULE ST, Fort Knox, KY 40121

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabitha Louise Roach Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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