ANNA LEE ROTH (NPI# 1023264041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023264041 |
| Entity Type | Individual |
| Full Name | ANNA LEE ROTH |
| Credential | NP |
| Practice Address |
2184 S Ballenger Hwy Flint MI 48503-3437 |
| Mailing Address |
3495 S Center Rd Burton MI 48519-1455 |
| Practice Telephone | 8102325627 |
| Practice Fax Number | 8102328024 |
| Enumeration Date | 2008-08-10 |
| Last Update Date | 2017-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704296699 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1023264041 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396243622 | Anna Roth | Counselor | 115 S Sycamore St, Gardner, KS 66030-1348 | 2018-02-01 |
| 1205260569 | Anna Laurie Roth | Counselor | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2013-08-22 |
| 1124274741 | Anna Elizabeth Roth | Occupational Therapist | 3033 E Thunderbird Rd, Apt 2042, Phoenix, AZ 85032-5681 | 2008-08-14 |
| Street Address |
2184 S BALLENGER HWY |
| City | FLINT |
| State | MI |
| Zip Code | 48503-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780621292 | Paul Chrenka | Pediatrics | 2184 S Ballenger Hwy, Flint, MI 48503-3437 | 2006-06-01 |
| 1215300033 | Ashley Duffield | Nurse Practitioner | 2184 S Ballenger Hwy, Flint, MI 48503-3437 | 2015-11-02 |
| 1427429448 | Indu Singala | Nurse Practitioner | 2184 S Ballenger Hwy, Flint, MI 48503-3437 | 2015-10-16 |
| 1922492289 | Eric Michael Nowicki | Pediatrics | 2184 S Ballenger Hwy, Flint, MI 48503-3437 | 2015-03-25 |
| 1275635930 | Kienan F Murphy | Pediatrics | 2184 S Ballenger Hwy, Flint, MI 48503-3437 | 2006-09-02 |
| 1124120894 | Joseph B Simmert | Pediatrics | 2184 S Ballenger Hwy, Flint, MI 48503-3437 | 2006-09-02 |
| 1497857650 | Duane R Allyn | Pediatrics | 2184 S Ballenger Hwy, Flint, MI 48503-3437 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639676919 | Amanda Kate Waltrip | Nurse Practitioner | 300 E 1st St Ste 201, Flint, MI 48502-1900 | 2018-04-12 |
| 1225567084 | Tara Ann Kalinowski | Nurse Practitioner | 2265 S Linden Rd Ste A, Flint, MI 48532-5408 | 2017-06-06 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| 1033596549 | Deosha Williams | Nurse Practitioner | 4203 Cayuga Trl, Flint, MI 48532-3581 | 2015-05-04 |
| 1649660606 | Venita Sharron Thornton | Nurse Practitioner | 1165 Linden Road, Flint, MI 48532 | 2015-01-29 |
| 1790199313 | Laurel Anne Paradise-bumhoffer | Nurse Practitioner | 3807 North Center Road, Flint, MI 48506 | 2014-06-12 |
| 1285982520 | Andrea Ann Rossi | Nurse Practitioner | 4302 Underhill Drive, Flint, MI 48506 | 2012-08-16 |
| 1235439142 | Paula M Anderson | Nurse Practitioner | 420 W Fifth Ave, Flint, MI 48503 | 2010-10-26 |
| 1386782381 | Genesys Integrated Group Practice PC | Nurse Practitioner | 307 E Court St, Flint, MI 48502-1611 | 2007-02-02 |
| 1164532966 | Bethany Lynn Pummill | Nurse Practitioner | 3011 North Center Rd, Flint, MI 48506 | 2006-08-30 |
| Find all providers in FLINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.