CLARICE ROTH (NPI# 1548302292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548302292 |
Entity Type | Individual |
Full Name | CLARICE ROTH |
Credential | ANP-C |
Practice Address |
Lower Level Reynolds Gym-wingate Road Wingate Road Winston-salem NC 27109 |
Mailing Address |
Po Box 398 Germanton NC 27019-0398 |
Practice Telephone | 3367585218 |
Practice Fax Number | 3367586054 |
Mailing Telephone | 3365917351 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
21960 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | DEA NUMBER | MR0904335 | 01 |
Street Address |
LOWER LEVEL REYNOLDS GYM-WINGATE ROAD WINGATE ROAD |
City | WINSTON-SALEM |
State | NC |
Zip Code | 27109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598394710 | Katherine Nicole Best | Dietitian, Registered | 1834 Wake Forest Road, Sutton Sports Performance Center, Room 218, Winston Salem, NC 27109 | 2020-04-08 |
1831317528 | Teresa B. Jackson | Pharmacist | Lower Level Reynolds Gym Wingate Road, Lower Level Reynolds Gym Wingate Road, Winston-salem, NC 27109 | 2007-04-20 |
1720120470 | Carole Maxwell Stuart | Family Medicine | Lower Level Reynolds Gym-wingate Rd., Wingate Rd., Winston-salem, NC 27109 | 2007-02-12 |
1285717694 | Wake Forest University | Pharmacy | Lwr Level Reynolds Gym Wingate Rd, Winston-salem, NC 27109 | 2006-10-23 |
1982830907 | Steven Miller Heffner | Family Medicine | 1834 Wake Forest Dr, Winston Salem, NC 27109-6000 | 2009-06-04 |
1114986403 | Linday S Peral | Family Medicine | 1834 Wake Forest Rd, George C Mackie Health Center, Winston Salem, NC 27109-6000 | 2006-03-23 |
1629685300 | Shalyn Patel | Physician Assistant | 1834 Wake Forest Rd, Winston Salem, NC 27109-6000 | 2020-09-28 |
1912429481 | Holly Ann Heath | Counselor | 1834 Wake Forest Rd, Winston Salem, NC 27109-6000 | 2017-07-17 |
1598216749 | Scott Girard Spernoga | Specialist/Technologist | 1834 Wake Forest Rd, Winston Salem, NC 27109-6000 | 2016-10-21 |
1629423181 | Beverly Nesbit | Dietitian, Registered | 1834 Wake Forest Rd, 1158 Worrell Professional Center, Winston Salem, NC 27109-6000 | 2016-05-03 |
Find all providers in zip 27109 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306938758 | Cynthia Sink Leonard | Nurse Practitioner | 101 Hospice Lane, Winston-salem, NC 27103 | 2006-09-29 |
1841661832 | Jeanine Marianne Albert | Nurse Practitioner | 4692 Brownsboro Road, Physicians Eldercare, Winston-salem, NC 27106 | 2015-10-15 |
1710209713 | Amy P Townsend | Nurse Practitioner | Medical Center Boulevard, Winston-salem, NC 28157-0001 | 2010-02-18 |
1376591586 | Sarah Catherine O'toole | Nurse Practitioner | Medical Center Blvd, Winston-salem, NC 27157-1089 | 2006-05-04 |
1164480232 | Martha Arietti | Nurse Practitioner | 3073 Trenwest Dr, Winston-salem, NC 27103-3207 | 2006-05-01 |
1538120910 | Dept of Veterans Affairs Outpatient Clinic | Nurse Practitioner | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-28 |
1598740839 | Stephanie Pickett | Nurse Practitioner | 3333 Brookview Hills Blvd, Suite 107 Total Family Care of Winston Salem, Winston-salem, NC 27103-5661 | 2005-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487260451 | Jo Ellen Inman-puckett | Nurse Practitioner | 31 Swiss Pine Ct, Spruce Pine, NC 28777-8704 | 2020-09-16 |
1558975417 | Marguerite Swick | Nurse Practitioner | 15900 Riverpointe Dr, Charlotte, NC 28278-8886 | 2020-09-08 |
1134730864 | Blueh Iv Health Services Pllc | Nurse Practitioner | 9625 David Taylor Dr, Charlotte, NC 28262-2362 | 2020-08-14 |
1255959573 | Kathryn Allman | Nurse Practitioner | 104 Brighton Ct, Chapel Hill, NC 27516-9005 | 2020-07-13 |
1326665142 | Mary Ann Todd | Nurse Practitioner | 5508 7 Lks W, West End, NC 27376-9336 | 2020-06-27 |
1538785118 | Amanda S. Morgan | Nurse Practitioner | 600 Hospital Dr Ste 9, Clyde, NC 28721-8046 | 2020-06-19 |
1508480823 | Lauren Elizabeth Barkley | Nurse Practitioner | 10207 Cerny St Ste 200, Raleigh, NC 27617-4880 | 2020-06-02 |
1265055271 | Pamela Duncan | Nurse Practitioner | 120 N Medical Dr Unc-ch Son: Carrington Hall, Chapel Hill, NC 27599-7460 | 2020-05-26 |
1689297715 | Heather Bryce Futrell | Nurse Practitioner | 115 Joe Kanaris Rd, Rockingham, NC 28379-8063 | 2020-05-23 |
1871116103 | Lynn Chanell Hicks | Nurse Practitioner | 3221 Nontucket Ln, Hope Mills, NC 28348-9054 | 2020-05-20 |
Find all providers with the same taxonomy |
City | WINSTON-SALEM |
Zip Code | 27109 |
Please comment or provide details below to improve the information on CLARICE 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.