MRS. STEFANIE MARIE ROTH (NPI# 1568835742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568835742 |
Entity Type | Individual |
Full Name | MRS. STEFANIE MARIE ROTH |
Other Name | STEFANIE MARIE BERNKLAU |
Credential | RN |
Practice Address |
7570 W 21st St N Suite 1026 D Wichita KS 67205-1734 |
Mailing Address |
2946 N Parkdale Ct Wichita KS 67205-6040 |
Practice Telephone | 3167296555 |
Mailing Telephone | 3162154841 |
Enumeration Date | 2015-11-10 |
Last Update Date | 2015-11-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
13-93878 | KS | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699765933 | Stefanie Rachel Roth | Social Worker | 112 Franklyn Place, Woodmere, NY 11598-1217 | 2005-10-27 |
Street Address |
7570 W 21ST ST N SUITE 1026 D |
City | WICHITA |
State | KS |
Zip Code | 67205-1734 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093711244 | Peeples Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 7570 W 21st St N, Ste 1026b, Wichita, KS 67205-1734 | 2005-06-22 |
1811547102 | Janel Hartwell | Marriage & Family Therapist | 7570 W 21st St N, Wichita, KS 67205-1734 | 2019-09-18 |
1639526536 | Axiom Counseling & Therapy Services | Marriage & Family Therapist | 7570 W 21st St N, Building1042 Suite B, Wichita, KS 67205-1734 | 2016-05-20 |
1336530716 | Bethany Owens | Social Worker | 7570 W 21st St N, Suite 1026d, Wichita, KS 67205-1764 | 2015-02-06 |
1356603575 | Steven J Dold | Dentist | 7570 W 21st St N, Ste 1026b, Wichita, KS 67205-1734 | 2012-06-13 |
1861752859 | Brent Carpenter | Dentist | 7570 W 21st St N, Building 1010, Wichita, KS 67205-1734 | 2012-05-23 |
1487880282 | Joshua Warren Davis | Dentist | 7570 W 21st St N, Bldg. 1050 Suite B, Wichita, KS 67205-1734 | 2009-06-08 |
1972740843 | Reflection Ridge Dental, LLC | Point of Service | 7570 W 21st St N, 1050b, Wichita, KS 67205-1734 | 2009-01-14 |
1619136702 | Craig Douglas Ratzlaff | Dentist | 7570 W 21st St N, Bldg 1020 Ste A, Wichita, KS 67205-1734 | 2008-06-04 |
1972782498 | Erin Veranne Delmar | Marriage & Family Therapist | 7570 W 21st St N, Building 1050 Suite E, Wichita, KS 67205-1734 | 2007-10-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
1649637653 | Abigail Friend | Audiologist-Hearing Aid Fitter | 2558 Lake Way Circle, Wichita, KS 67205 | 2016-01-21 |
1134505399 | Myles Davidson | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205 | 2015-08-10 |
1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
1447693627 | Caryn Rana Landreth | Social Worker | 3114 N Brush Creek St, Wichita, KS 67205 | 2013-04-08 |
1902182686 | Return To Motion Medical | Durable Medical Equipment & Medical Supplies | 3221 N Ridge Port Circle, Wichita, KS 67205 | 2011-10-26 |
Find all providers in zip 67205 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508490392 | Julia Jean Mcvay | Registered Nurse | 5545 N Edwards Cir, Wichita, KS 67204-5400 | 2020-03-02 |
1952884488 | Thao Thi Le | Registered Nurse | 9415 E Harry St., Wichita, KS 67207-6720 | 2018-09-11 |
1821110305 | Sandra Ann Corbin | Registered Nurse | 434 N Oliver Ave, Wichita, KS 67208-4000 | 2007-04-04 |
1386735041 | Mary K Jones | Registered Nurse | 9333 E 21st St, Wichita, KS 67206-2927 | 2006-09-27 |
1295775138 | Bob Born | Registered Nurse | 1421 E 2nd St N, Wichita, KS 67214-4119 | 2006-06-08 |
1780631663 | Nancy Ballinger | Registered Nurse | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2006-05-27 |
1003881996 | Jeannine Susan Anderson | Registered Nurse | 2808 E Central, Wichita, KS 67214 | 2006-02-22 |
1235773383 | Connie Sue Munro | Registered Nurse | 9415 E Harry St Ste 800, Wichita, KS 67207-5084 | 2019-11-01 |
1346898046 | Carole Renee Potter | Registered Nurse | 1919 N Amidon Ave Ste 130, Wichita, KS 67203-2118 | 2019-08-27 |
1124493234 | Denise Joan Erdman | Registered Nurse | 9333 E 21st St N, Wichita, KS 67206-2927 | 2015-12-01 |
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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.