MS. DIANE E. ROTH (NPI# 1770502676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770502676 |
| Entity Type | Individual |
| Full Name | MS. DIANE E. ROTH |
| Credential | RN |
| Practice Address |
5000 West National Avenue Milwaukee WI 53295-0001 |
| Mailing Address |
1548 Kaulette Drive Grafton WI 53024-9652 |
| Practice Telephone | 4143842000 |
| Practice Fax Number | 4143825269 |
| Mailing Telephone | 2626184467 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
48926-030 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861552168 | Diane Louise Roth | Registered Nurse | 2901 Brent Dr, Sanborn, NY 14132-9240 | 2006-12-11 |
| 1215436035 | Diane Marie Roth | Case Manager/Care Coordinator | 29125 Chagrin Blvd, Pepper Pike, OH 44122-5727 | 2018-02-07 |
| 1871038422 | Diane Roth | Counselor | 4 Post Office Sq, Taunton, MA 02780-3207 | 2017-01-05 |
| 1649615717 | Diane B. Roth | Speech-Language Pathologist | 3501 E Palmetto St, Florence, SC 29506-4015 | 2013-05-02 |
| 1578830329 | Diane C Roth | Occupational Therapist | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2011-11-22 |
| 1790916864 | Diane Roth | Registered Nurse | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-08-06 |
| 1093810137 | Diane D. Roth | Nurse Practitioner | 1919 E Thomas Rd, Department of Outpatient Psychiatry, Phoenix, AZ 85016-7710 | 2006-09-13 |
| Street Address |
5000 WEST NATIONAL AVENUE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53295-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073507 | Susan Kathlenn Kartes | Nurse Practitioner | 5000 West National Avenue, Milwaukee, WI 53295 | 2005-06-16 |
| 1881059905 | Jamie Lee Heise | Social Worker | 5000 West National Avenue, Building 43 Room 206, Milwaukee, WI 53295 | 2015-12-16 |
| 1699931196 | Carrie Ann Capak | Pharmacist | 5000 West National Avenue, Milwaukee, WI 53295 | 2008-08-04 |
| 1629159355 | Myron Irving Hustad | Social Worker | 5000 West National Avenue, Milwaukee, WI 53295 | 2006-10-18 |
| 1649364365 | Milwaukee Va Hospital | Community Based Residential Treatment Facility, Mental Illness | 5000 West National Avenue, Milwaukee, WI 53295 | 2006-10-03 |
| 1306938196 | Diane Mary Komlodi | Dietitian, Registered | 5000 West National Avenue, Milwaukee, WI 53295 | 2006-09-29 |
| 1093819559 | Erin Nicole Forgy | Counselor | 5000 West National Avenue, Building 7, Milwaukee, WI 53295 | 2006-09-12 |
| 1982628061 | Marianne Elizabeth Miller | Pharmacist | 5000 West National Avenue, Pharmacy Department, Milwaukee, WI 53295 | 2006-07-26 |
| 1962420034 | Raymond Paul Konz | Social Worker | 5000 West National Avenue, Milwaukee, WI 53215 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457858573 | Nina Sathasivam-rueckert | Psychologist | Zablocki Va Medical Center 5000 West National Avenue, Milwaukee, WI 53295 | 2018-04-06 |
| 1306350269 | Nicole Marien Van Horn | Clinical Nurse Specialist | Milwaukee Va Medical Center (zablocki), 5000 W. National Ave, Milwaukee, WI 53295 | 2017-11-29 |
| 1275829582 | Emily Rose Allred | Registered Nurse | 500 National Ave, Milwaukee, WI 53295 | 2011-06-24 |
| 1104912666 | Steve Eigen | Social Worker | 5000 W. National, Milwaukee, WI 53295 | 2006-10-04 |
| 1225121700 | Vicki L Nelson | Social Worker | 5000 W.national Ave, Milwaukee, WI 53295 | 2006-10-02 |
| 1003908617 | Beth Ayers | Physical Therapist | 5000 W National Ave., Milwaukee, WI 53295 | 2006-09-29 |
| 1730286295 | Regina Robin Anderson-spann | Social Worker | 5000 W. National Avenue, Milwaukee, WI 53295 | 2006-09-19 |
| 1891723904 | Allyn J Coleman | Dentist | Clement J. Zablocki Va Medical Center, 5000 W National Avenue, Milwaukee, WI 53295 | 2006-06-29 |
| 1356347686 | Wendy R. Janssen | Nurse Practitioner | 5000 W. National Ave, Milwaukee, WI 53295 | 2005-06-22 |
| 1598769911 | Ann Elizabeth Wittwer | Nurse Practitioner | 5000 West National Ave, Yellow Clinic, Milwaukee, WI 53295 | 2005-06-13 |
| Find all providers in zip 53295 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982877023 | Janet Kaczinski | Registered Nurse | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2008-04-09 |
| 1831394691 | Lameco Butler | Registered Nurse | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2007-06-20 |
| 1134264815 | Carol Beverly Hanson | Registered Nurse | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2007-02-21 |
| 1043355514 | Ann Mary Schoeneman | Registered Nurse | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2007-02-21 |
| 1598800120 | Dianne Marie Banks | Registered Nurse | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2007-02-21 |
| 1740325406 | Janet Diane Krueger | Registered Nurse | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043344146 | Bell Therapy Csp | Registered Nurse | 5500 8th Ave, Kenosha, WI 53140-3700 | 2007-03-14 |
| 1619039021 | Charlotte Gladbach | Registered Nurse | 1501 Airport Road, Waukesha, WI 53188 | 2006-12-14 |
| 1053923664 | Ashley Primley | Registered Nurse | 2500 Hall Ave, Marinette, WI 54143-1655 | 2020-08-17 |
| 1366089658 | Maria Michelle Watson | Registered Nurse | 151 E Badger Rd Ste A, Madison, WI 53713-2726 | 2019-12-05 |
| 1396391728 | Briann N. Modos | Registered Nurse | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2019-08-12 |
| 1366004442 | Deanna Lynn Kapitzke | Registered Nurse | 1505 North Drive, Winnebago, WI 54985-0016 | 2019-06-28 |
| 1154825529 | Johanna Halsted | Registered Nurse | 49 Kessel Ct, Madison, WI 53711-6200 | 2018-03-21 |
| 1588061436 | Shari Stolte | Registered Nurse | 505 Broadway St, Baraboo, WI 53913-2183 | 2014-11-20 |
| 1073917654 | Dan Powell | Registered Nurse | 2500 Hall Ave, Suitei B, Marinette, WI 54143-1655 | 2014-10-10 |
| 1932502325 | Andrew John Sievila | Registered Nurse | 2448 S 102nd St, Suite 200, West Allis, WI 53227-2466 | 2014-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. DIANE E. 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.