LISA M ROTH


Address: 1465 S Grand Blvd, Saint Louis, MO 63104-1003
Phone: 3145775631

LISA M ROTH (NPI# 1558576561) 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) 1558576561
Entity Type Individual
Full Name LISA M ROTH
Credential RNC NNP
Practice Address 1465 S Grand Blvd
Saint Louis
MO 63104-1003
Mailing Address 3815 Holly Hills Blvd
Saint Louis
MO 63116-3134
Practice Telephone 3145775631
Mailing Telephone 3147524327
Enumeration Date 2007-05-12
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 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
066591 MO Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA ROTH

NPI Name Taxonomy Address Enumeration
1346612272 Lisa Roth Nurse's Aide 22294 Coffelt Rd, Saint Mary, MO 63673-9225 2015-10-30
1730116807 Lisa Caren Roth Allergy & Immunology 10 Union Ave, Suite11a&b, Lynbrook, NY 11563-3397 2006-06-26
1841773959 Lisa Marie Roth Case Manager/Care Coordinator 10 N Main St, Bristol, CT 06010-8122 2018-09-13
1083133235 Lisa Hughes Roth Dietitian, Registered 12550 New Brittany Blvd Ste 200, Fort Myers, FL 33907-3655 2017-09-19
1295254522 Lisa Carolyn Roth Counselor 101 E Broadway Ave, Bismarck, ND 58501-3840 2017-09-19
1336501857 Lisa Sharon Roth Psychologist 399 Laurel St, Suite 5, San Francisco, CA 94118-1951 2016-03-23
1679986715 Lisa Anne Roth Pediatrics 3401 Civic Center Blvd Rm 55, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4319 2014-06-06
1780823245 Lisa Bettina Roth Social Worker 40 Park Ln, Highland, NY 12528 2009-02-06
1376704742 Lisa Roth Pediatrics 1275 York Ave, Department of Pediatrics, New York, NY 10065-6007 2008-06-19
1871762609 Lisa Michelle Roth Specialist/Technologist 21419 W Dove Valley Rd, Wittmann, AZ 85361-8412 2008-02-26

Office Location

Street Address 1465 S GRAND BLVD
City SAINT LOUIS
State MO
Zip Code 63104-1003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528676921 Gunjanpreet Kaur Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-07-21
1972128510 Millicent Rose Palacios Nurse Practitioner 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-06-09
1083241863 Nathaniel Joseph Conner Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1467089177 Stacy Kollanur Mathews Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1568099299 Susan Aye Mya Oo Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1861029514 Gregory Joseph Weissler II Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1154958874 Brendan Michael Mcenery Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1316574049 Satvika Mikkilineni Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1972130607 Katherine Letha Randolph Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1346877081 Samuel Ryan Richey Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407469570 Family Care Health Centers Clinic/Center 2717 Sidney Street, St. Louis, MO 63104 2020-08-28
1023638038 Laura Ann Humphrey Physician Assistant Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 2020-04-20
1174187264 Ahsan Ali Student in an Organized Health Care Education/Training Program 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 2019-04-24
1205359916 Brenda Eve Ladin Behavior Technician 1221 Allen Market Lane Rear, St. Louis, MO 63104 2017-07-25
1841722063 Gustavo G Mendez Student in an Organized Health Care Education/Training Program 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 2017-03-28
1053776716 Carmella Harper Respiratory Therapist, Certified 2678 Park Ave, St Louis, MO 63104 2015-12-23
1922485986 Alexander Tremont Internal Medicine 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 2015-04-29
1306233341 Healthcare R Us Home Health 2859 Sidney St, St Louis, MO 63104 2015-04-16
1396159091 Daniela Hermelin Pathology 1402 South Grane, St. Louis, MO 63104 2014-06-20
1992117881 Kelly Denise Durbin Social Worker 1920 S 7th St, Saint Louis, MO 63104 2014-05-27
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215450812 Theresa Diane Allen Nurse Practitioner 1 Childrens Pl Ste 5s15, Saint Louis, MO 63110-1002 2017-07-25
1538348016 Cortney Lynn Button Nurse Practitioner 2302 England Town Rd, Saint Louis, MO 63129 2007-10-31
1699386417 Kristen Bagby Nurse Practitioner 1 Childrens Pl, Saint Louis, MO 63110-1002 2020-08-14
1720696115 Abigail Patricia Klatch Nurse Practitioner 1 Childrens Pl, Saint Louis, MO 63110-1002 2020-07-21
1730707068 Alyssa Lavalle Nurse Practitioner 1 Childrens Pl, Saint Louis, MO 63110-1002 2020-07-13
1245858067 Jessica Pona Nurse Practitioner 1 Childrens Pl, Saint Louis, MO 63110-1002 2020-07-08
1346889573 Paige C Reque Nurse Practitioner 1 Childrens Pl, Saint Louis, MO 63110-1002 2020-01-06
1538706585 Rita Millicent Stanley Nurse Practitioner 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2019-12-09
1669019964 Keatyn Renee Mcvietty Nurse Practitioner 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2019-12-05
1003463381 Emily Goetter Nurse Practitioner 1 Childrens Pl, Saint Louis, MO 63110-1081 2019-08-21
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Competitor

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City SAINT LOUIS
Zip Code 63104

Improve Information

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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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