NPI age
8 years
Enumerated 2018-03-03
● Active
Type 1 · Individual
MS. Tia Roche Ivory, FNP-C
Ivory is 1 of 21 nurse practitioner providers in Kilgore and 1 of 22123 in Texas.
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-05-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 22123 active nurse practitioner providers in Texas.
NPI age
8 years
≈ at median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-03Enumerated in NPPES
2018
2026
Where they practice
Practice location
2019a S Henderson Blvd Ste 2
Kilgore, TX 756623567
Mailing address
2019a South Henderson Blvd, Suite 2
Kilgore, TX 756623915
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8025511 | AETNA |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new nurse practitioner provider has been added in Kilgore in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.