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KELLY ROE
NPI 1457781304
Licensed Vocational Nurse in Orange, CA

Active since November 13, 2013
401 S TUSTIN ST, BUILDING D, ORANGE, CA 92866(714) 289-3936(714) 289-3938 Get Directions Write a Review

NPPES record last updated: November 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Roe NPPES

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

KELLY ROE (NPI 1457781304) is an individual licensed vocational nurse in Orange, California, licensed in California (212212) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1457781304
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKELLY ROE
Location Address401 S TUSTIN ST, BUILDING DOrange, CA 92866-2550
Mailing Address401 S Tustin St, Building DOrange, CA 92866-2550 · (714) 289-3936 · Fax (714) 289-3938
Phone(714) 289-3936
Fax(714) 289-3938
Sole ProprietorNo
Enumeration DateNovember 13, 2013
✔ NPI 1457781304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 212212
Definition
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
401 S TUSTIN ST, Orange, CA 92866
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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.

NUVIA RODRIGUEZ
Counselor (Mental Health)
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 289-3936
REBECCA ANN LOUISEQ RIENTORD
Counselor (Mental Health)
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 361-4860
AMI BENLLINE NAJERA LVN
Licensed Vocational Nurse
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 289-3936
MARIA HORTENCIA MARTINEZ-GARICA
Counselor
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 361-4860
MRS. DIANA REDEEMER MA., LPCC, LPC
Counselor (Professional)
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 289-3936
MR. MARIO JOSEPH IBARRA
Specialist
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 361-4860
LISA BODMER
Counselor
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (949) 406-9689
KYU YOUNG KANG
Counselor
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 361-4860

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 Kelly Roe's NPI number?

The NPI number for Kelly Roe is 1457781304. It was assigned to this individual provider in the NPPES registry on November 13, 2013.

Where is Kelly Roe located?

Kelly Roe practices at 401 S Tustin St Building D, Orange, CA 92866. The listed phone number is (714) 289-3936.

What is Kelly Roe's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kelly Roe was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.