AMANDA MARIE ROTH (NPI# 1124140157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124140157 |
| Entity Type | Individual |
| Full Name | AMANDA MARIE ROTH |
| Credential | CPHT |
| Practice Address |
3051 Cahill Main Fitchburg WI 53711-7109 |
| Practice Telephone | 6086617220 |
| Practice Fax Number | 6086617216 |
| Mailing Telephone | 6086617220 |
| Mailing Fax Number | 6086617216 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 250101030342158 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902261001 | Amanda Roth | Social Worker | 4526 Federal Ave Bldg I, Everett, WA 98203-2132 | 2015-12-16 |
| 1205444882 | Amanda Roth | Physical Therapist | 505 Irvin Ct Ste 101, Decatur, GA 30030-1780 | 2020-07-20 |
| 1437783289 | Amanda Roth | Behavior Technician | 6600 W Charleston Blvd Ste 111, Las Vegas, NV 89146-1067 | 2020-03-02 |
| 1861032724 | Amanda Colleen Roth | Counselor | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2020-01-08 |
| 1699330340 | Amanda Roth | Student in an Organized Health Care Education/Training Program | 22 S Greene St, Baltimore, MD 21201-1590 | 2019-05-08 |
| 1801364690 | Amanda Roth | Behavioral Analyst | 170 Pheasant Run, Newtown, PA 18940-1877 | 2018-11-09 |
| 1306321989 | Amanda Elizabeth Roth | Physical Therapist | 411 Mass Ave Ste 302, Acton, MA 01720-3739 | 2018-09-28 |
| 1932560042 | Amanda Michelle Salomon Roth | Pharmacist | 6 Willard Rd, Norwalk, CT 06851-4414 | 2016-03-16 |
| 1265702484 | Amanda Kathleen Roth | Social Worker | 3639 Martin Luther King Jr Way S, Seattle, WA 98144-6847 | 2012-01-04 |
| 1780907105 | Amanda Nichole Roth | Pharmacy Technician | 1620 Century Center Pkwy, Memphis, TN 38134-0181 | 2010-03-12 |
| Street Address |
3051 CAHILL MAIN |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53711-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739068 | Kathleen A Trott | Psychiatry & Neurology | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2005-06-09 |
| 1669025458 | Annie Dutcher | Physician Assistant | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2019-07-20 |
| 1720571698 | Chelci Schade | Optometrist | 3051 Cahill Main, Fitchburg, WI 53711 | 2018-06-14 |
| 1033627336 | Katelyn D Beemon | Nurse Practitioner | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2018-01-21 |
| 1619492899 | Amy Elizabeth Brinza | Nurse Practitioner | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2017-08-08 |
| 1215467758 | Adam Burns | Optometrist | 3051 Cahill Main, Fitchburg, WI 53711 | 2017-06-18 |
| 1982055083 | Thomas Jonathan Waeltz | Optometrist | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2016-06-29 |
| 1104204247 | Rachael Ziska | Internal Medicine | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2015-05-08 |
| 1427443753 | Dylan Steven Ledford | Family Medicine | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2015-04-02 |
| 1609296607 | Amy Louise Rindahl | Optometrist | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2014-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790807725 | Cheryl Ann Dull | Pharmacy Technician | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109062 | Jamie Ann Ver Hagen | Pharmacy Technician | 218800 Fawn Rd Lot 81, Mosinee, WI 54455-4352 | 2019-11-20 |
| 1861831810 | James Robert Mccormick | Pharmacy Technician | 2720 S 163rd St, New Berlin, WI 53151-3610 | 2013-06-21 |
| 1265777999 | Linda Joyce Lundberg | Pharmacy Technician | 11134n Hwy 77, Essentia Health Hayward Pharmacy, Hayward, WI 54843-5325 | 2012-12-06 |
| 1952335515 | Nicole L Halvorson | Pharmacy Technician | 1800 Robin Ave, S207, Oshkosh, WI 54902-8765 | 2006-07-10 |
| 1295356020 | Matthew Parish | Pharmacy Technician | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-05-04 |
| 1255951448 | Hossam Ali | Pharmacy Technician | 2700 S 60th St, Milwaukee, WI 53219-3151 | 2020-04-17 |
| 1649816026 | James Allen Worthey | Pharmacy Technician | 2001 N Central Ave, Marshfield, WI 54449-8337 | 2019-11-20 |
| 1821651563 | Leighton A Becher | Pharmacy Technician | 1900 South Ave, La Crosse, WI 54601-5496 | 2019-04-18 |
| 1861902751 | Brandon Tyra | Pharmacy Technician | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2017-10-05 |
| 1548714462 | Katrina Wellnitz | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2016-08-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AMANDA MARIE ROTH.
| 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.