Individual provider

DR. TIMOTHY LEE ROESER, DNP APRN NP--C

CMS NPPES lists DR. TIMOTHY LEE ROESER as an individual provider record with NPI 1366906042. The current record reports a primary practice location in ABILENE, KS and primary taxonomy code 363LF0000X.

NPI 1366906042Record type Type 1Primary taxonomy 363LF0000X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    103 NW 3RD STABILENE, KS 674102628

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 363LP2300XAdditional reported taxonomy
  • 163W00000XAdditional reported taxonomy
  • 363LF0000XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
January 26, 2019

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.