Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Nicole Roach, DO

Individual provider Pediatrics Physician · NPI 1770162703

Alexis Nicole Roach, DO is a Pediatric Medicine in Little Rock, Arkansas. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Arkansas.

Years since qualifying
5
Licensed in
AR
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1 Childrens Way # 664
Little Rock, AR 72202-3500
Phone: (501) 364-2505
Fax: (501) 978-6436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PP0204X · Licence E-18038 (AR)
Pediatrics Physician Taxonomy 208000000X · Licence E-18038 (AR)

Record details

NPI number1770162703
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 6, 2021
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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