JACQUELINE MARIE ROTH (NPI# 1669021952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669021952 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARIE ROTH |
| Practice Address |
5700 172nd St Ne Arlington WA 98223-7742 |
| Practice Telephone | 3606529640 |
| Practice Fax Number | 3606522093 |
| Mailing Telephone | 3606529640 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60298450 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639505308 | Jacqueline Marie Roth | Emergency Medicine | 230 Mckee Pl, Suite 500, Pittsburgh, PA 15213-3903 | 2013-09-25 |
| Street Address |
5700 172ND ST NE |
| City | ARLINGTON |
| State | WA |
| Zip Code | 98223-7742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801261276 | Valerie Chance | Counselor | 5700 172nd St Ne, Arlington, WA 98223-7742 | 2015-12-10 |
| 1952947947 | Doris Evelyn Anderson | Licensed Practical Nurse | 5700 172nd St Ne, Arlington, WA 98223-7742 | 2019-11-25 |
| 1679119663 | Sharla J Smith | Licensed Practical Nurse | 5700 172nd St Ne, Arlington, WA 98223-7742 | 2019-11-25 |
| 1851937411 | Carrie Anne Warfield | Licensed Practical Nurse | 5700 172nd St Ne, Arlington, WA 98223-7742 | 2019-11-19 |
| 1487298790 | Marion C Bodle | Registered Nurse | 5700 172nd St Ne, Arlington, WA 98223-7742 | 2019-10-30 |
| 1851935274 | Jason Lucas Nieves | Licensed Practical Nurse | 5700 172nd St Ne, Arlington, WA 98223-7742 | 2019-10-29 |
| 1972154979 | Amanda O'neill | Counselor | 5700 172nd St Ne, Arlington, WA 98223-7742 | 2019-09-23 |
| 1912557091 | Stanley J Atkins | Counselor | 5700 172nd St Ne, Arlington, WA 98223-7742 | 2019-09-19 |
| 1730738394 | Travis Atkins | Counselor | 5700 172nd St Ne, Arlington, WA 98223-7742 | 2019-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667462 | Clark Nursing LLC | Registered Nurse | 30818 412th Dr. N.e., Arlington, WA 98223 | 2020-04-08 |
| 1952952442 | Tina Willett | Technician | 18404 19th Avenue Ne, Arlington, WA 98223 | 2019-09-25 |
| 1841841764 | Carolyn Marie Lantz | Technician | 6002 Cemetery Road, Arlington, WA 98223 | 2019-09-23 |
| 1801457643 | Maddison Post | Massage Therapist | 18725 Smokey Point Boulevard, Arlington, WA 98223 | 2019-06-24 |
| 1790341113 | Brandon Tyler Stott | Specialist/Technologist | 17023 11th Ave Ne, Arlington, WA 98223 | 2019-05-10 |
| 1881177715 | Hailey R Tanis | Massage Therapist | 3131 Smokey Point Drive #5b, Arlington, WA 98223 | 2018-09-06 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1851839617 | Jamie Claire Chatters-elf | Preventive Medicine | 315 N French Avenue, Arlington, WA 98223 | 2017-02-01 |
| 1790153286 | Glenda Louise Taylor | Massage Therapist | 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 | 2015-09-14 |
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| Find all providers in zip 98223 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180200 | Arika Wydur | Counselor | 23912 27th Ave Ne, Arlington, WA 98223-7629 | 2020-10-07 |
| 1831701051 | Sherry Lynn Fidel | Counselor | 609 E Main St Ste 126, Arlington, TX 76010-1231 | 2020-08-19 |
| 1134743479 | Annia Gabriela Palacios | Counselor | 2101 Prestonwood Dr, Arlington, TX 76012-5418 | 2020-06-02 |
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1295397180 | Gary Zabunian | Counselor | 2523 Washington Blvd, Arlington, VA 22201-1117 | 2019-07-01 |
| 1811331200 | Denesh Singh | Counselor | 1521 N Cooper St Ste 208, Arlington, TX 76011-5522 | 2013-04-29 |
| 1568722445 | Kelli Jeanne Roark | Counselor | 4511 188th St Ne, Arlington, WA 98223-7778 | 2012-05-24 |
| 1306122718 | Liselotte Caroline Draney | Counselor | 602 N Edgewood St, Arlington, VA 22201-1932 | 2011-10-30 |
| 1023310026 | Christopher Demetrius Lattimore | Counselor | 3210 Pleasant Valley Ln Ste B, Arlington, TX 76015-2906 | 2010-11-23 |
| 1366778110 | Janice D Dolan | Counselor | 214 Billings St, Suite 240, Arlington, TX 76010-5404 | 2009-10-29 |
| Find all providers in ARLINGTON | ||||
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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.