CLARICE ROTH


Address: Lower Level Reynolds Gym-wingate Road, Wingate Road, Winston-salem, NC 27109
Phone: 3367585218

CLARICE ROTH (NPI# 1548302292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC DEA NUMBER MR0904335 01

Office Location

Street Address LOWER LEVEL REYNOLDS GYM-WINGATE ROAD
WINGATE ROAD
City WINSTON-SALEM
State NC
Zip Code 27109

Providers in the same zip code

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 Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WINSTON-SALEM
Zip Code 27109

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Dataset Information

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.

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