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IDA LEE ROACH LPN
NPI 1851543789
Licensed Practical Nurse in Milwaukee, WI

Active since October 22, 2008
5319 N 48TH ST, MILWAUKEE, WI 53218(414) 915-4926 Get Directions Write a Review

NPPES record last updated: October 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ida Lee Roach Lpn NPPES

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

IDA LEE ROACH LPN (NPI 1851543789) is an individual licensed practical nurse in Milwaukee, Wisconsin, licensed in Wisconsin (309438-031) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1851543789
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameIDA LEE ROACHCredential: LPN
Location Address5319 N 48TH STMilwaukee, WI 53218-3432
Mailing Address5319 N 48th StMilwaukee, WI 53218-3432 · (414) 915-4926
Phone(414) 915-4926
Sole ProprietorYes
Enumeration DateOctober 22, 2008
Last NPPES UpdateOctober 23, 2008
✔ NPI 1851543789 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 WI · 309438-031
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.
5319 N 48TH ST, Milwaukee, WI 53218
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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 Ida Roach's NPI number?

The NPI number for Ida Roach is 1851543789. It was assigned to this individual provider in the NPPES registry on October 22, 2008.

Where is Ida Roach located?

Ida Roach practices at 5319 N 48th St, Milwaukee, WI 53218. The listed phone number is (414) 915-4926.

What is Ida 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 Ida Roach was last updated on October 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.