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

Larry B Roark, NP-C

Individual provider Nurse Practitioner · NPI 1437281649

Larry B Roark, NP-C is a Nurse Practitioner in Middlesboro, Kentucky. Qualified in 2006, 20 years ago. Practices with Tristate Medical Clinic Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
20
Licensed in
KY
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2317 Cumberland Ave
Middlesboro, KY 40965-2834
Phone: (606) 242-3100
Fax: (606) 242-3984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3005024 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 3005024 (KY)

Record details

NPI number1437281649
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMarch 12, 2007
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address2317 Cumberland Ave, Middlesboro, KY 40965-2834

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Tristate Medical Clinic Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Middlesboro