KRISTINE LAUREN ROTH (NPI# 1487173175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487173175 |
| Entity Type | Individual |
| Full Name | KRISTINE LAUREN ROTH |
| Practice Address |
759 Chestnut Street 2nd Fl Springfield MA 01107 |
| Mailing Address |
280 Chestnut Street 2nd Fl Springfield MA 01199-1001 |
| Practice Telephone | 4137946297 |
| Practice Fax Number | 4137941767 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2275284 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 255 E Old Sturbridge Rd, Brimfield, MA 010109647 | 4132453389 | 4132454553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457834392 | Kristine Elise Roth | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2018-09-06 |
| 1326183633 | Kristine Wilhelmina Roth | Psychiatry & Neurology | 2825 Livernois Rd, Troy, MI 48083-1214 | 2007-02-21 |
| Street Address |
759 CHESTNUT STREET 2ND FL |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267107 | Donal T O'hanlon | Psychiatry & Neurology | 759 Chestnut Street, S5632, Springfield, MA 01199 | 2005-06-28 |
| 1700404688 | Katherine L Pearson | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2020-07-08 |
| 1881214294 | Jang Garcia | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2020-04-26 |
| 1578193470 | Brian Michael Perl | Pharmacist | 759 Chestnut Street, Baystate Pharmacy - Daly 3, Springfield, MA 01199 | 2020-01-19 |
| 1801455464 | Kevin John Broems | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2019-06-07 |
| 1710455654 | Marta Golasinski | Nurse Practitioner | 759 Chestnut Street, Springfield, MA 01107 | 2018-11-08 |
| 1770051294 | Pamela C Mumba | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2018-11-02 |
| 1063987030 | Ashley Kathryn Provost | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2018-10-05 |
| 1396241972 | Megan Phillips | Physician Assistant | 759 Chestnut Street, S3677, Springfield, MA 01107 | 2018-04-03 |
| 1174049167 | Gina Marie Brengi | Nurse Practitioner | 759 Chestnut Street, Springfield, MA 01107-1619 | 2017-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
Please comment or provide details below to improve the information on KRISTINE LAUREN 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.