Look up the most recent NPI and PECOS records

Kaley A Laroche

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

This provider is enrolled in PECOS as KALEY LAROCHE.

Based on the most recent information from CMS, provider Kaley A Laroche is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1275386419
Provider Type
Individual
Full Name
Laroche, Kaley A
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
4/8/2024
Last Updated
9/11/2024

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11033299 Florida

Kaley A Laroche

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bezerra, Andre Luiz

Collins, Christina I

Jewell, Katherine Arlene

Garland, Rachael Jacqueline

Welter, Alexa Beverly

Prussak, Karin

Miranda, Yarlenis

Torres, Lisa

Myatt, Kaitlin Marie

Fuller, Kimberly J