Samantha Jo Roach, FNP-C
Family Nurse Practitioner · Canton, IL
Practice location
210 W Walnut StCanton, IL 61520-2444
- Phone
- (309) 647-5240
NPI record
- NPI
- 1629940465
- Entity type
- Individual (Type 1)
- Enumeration date
- September 22, 2025
- Last updated
- September 22, 2025
- Certified
- September 17, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X |
209033247 | IL |
Mailing address
3994 N Fisk RdAstoria, IL 61501-8750
- Phone
- (309) 357-2004
About Samantha Roach
Samantha Jo Roach, FNP-C is a healthcare provider registered in the NPI registry with the primary taxonomy Family Nurse Practitioner (code 363LF0000X). The practice location is 210 W Walnut St, Canton, IL 61520-2444. The NPI number 1629940465 was assigned on September 22, 2025 and the record was last updated on September 22, 2025.
Samantha Roach lists a license in the registry: #209033247 (IL) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Samantha Jo Roach, FNP-C?
The NPI number is 1629940465.
What is the phone number of Samantha Roach?
The phone number listed for the practice location is (309) 647-5240.
Where is Samantha Roach located?
210 W Walnut St, Canton, IL 61520-2444.
What is the taxonomy code for Samantha Roach?
The primary taxonomy code is 363LF0000X – Family Nurse Practitioner.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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