JACLYN MARIE ROTH (NPI# 1891045076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891045076 |
| Entity Type | Individual |
| Full Name | JACLYN MARIE ROTH |
| Credential | MS, RD, LD |
| Practice Address |
2800 Clay Edwards Dr North Kansas City MO 64116-3220 |
| Practice Telephone | 8166914147 |
| Mailing Telephone | 8166914147 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2014-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1048325 | MO | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 2011016811 | MO | Dietary & Nutritional Service Providers |
| Street Address |
2800 CLAY EDWARDS DR |
| City | NORTH KANSAS CITY |
| State | MO |
| Zip Code | 64116-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617656 | Julianne M. Mazurek | Emergency Medicine | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2005-08-30 |
| 1922608983 | Rebecca A Cavender | Occupational Therapist | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2020-10-29 |
| 1891301602 | Cassandra St. Louis-herod | Registered Nurse | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2020-09-17 |
| 1053926519 | Ana Tonin Pellumbi | Pharmacist | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2020-09-11 |
| 1346851102 | Lindsey Kay Moore | Dietitian, Registered | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2020-08-13 |
| 1578173316 | Stephanie Jean Moore | Physical Therapist | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2020-08-06 |
| 1316556764 | Sarah Jean Bash | Speech-Language Pathologist | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2020-07-30 |
| 1841828746 | Meritas Health Corporation | Clinic/Center | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2020-03-28 |
| 1932758414 | Janna Michelle Kittle | Pharmacist | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2019-09-08 |
| 1437711090 | Megan Hickey | Pharmacist | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503830 | Ladeja Holland | Student in an Organized Health Care Education/Training Program | 4421 N Oak Trfy, Kansas City, MO 64116 | 2019-02-08 |
| 1982179388 | Casady's Counseling | Counselor | 1201 Nw Briarcliff Pkwy Ste 200 Office233, Kansas City, MO 64116 | 2018-10-11 |
| 1427543818 | Amanda E Foster | Physical Therapist | 3810 N Mulberry Drive 202, Kansas City, MO 64116 | 2018-06-27 |
| 1992290555 | Lucas J Mathes | Physician Assistant | 2790 Clay Edwards Drive, Suite 650, North Kansas City, MO 64116 | 2018-06-26 |
| 1952828816 | Danielle Marie Rush | Physical Therapist | 1501 Nw 38th St., Apt. 305, Kansas City, MO 64116 | 2017-08-23 |
| 1992229629 | Ankita Bhakta | Physical Therapy Assistant | 4407 N Mulberry Dr, Kansas City, MO 64116 | 2017-08-03 |
| 1720430945 | Deon Hicks | Physical Therapist | 851 Nw 45th Street, Suite 209, Kansas City, MO 64116 | 2016-07-12 |
| 1851712228 | Cindy Eldridge | Counselor | 1201 Nw Briarcliff Pkwy Ste 200, Kansas City, MO 64116 | 2014-01-02 |
| 1841629904 | Jamie Lyn Jackson | Specialist/Technologist | 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 | 2013-11-08 |
| 1487099388 | Lisa M Grasing | Family Medicine | 4150 N. Mulberry Dr, Suite 160, Kansas City, MO 64116 | 2013-05-06 |
| Find all providers in zip 64116 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851102 | Lindsey Kay Moore | Dietitian, Registered | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2020-08-13 |
| 1801359781 | Kendra Korner | Dietitian, Registered | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2019-04-09 |
| 1881176808 | Dayane Taylor Parker | Dietitian, Registered | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2018-09-06 |
| 1144701236 | Jace Tyler Galloway | Dietitian, Registered | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2018-08-27 |
| 1700373446 | Emily Boatman | Dietitian, Registered | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2018-04-18 |
| 1659731271 | Kelly Schrock | Dietitian, Registered | 2790 Clay Edwards Dr Ste 1250, C/o Hellman & Rosen Endocrine, North Kansas City, MO 64116-3260 | 2016-02-24 |
| 1871979310 | Becky Hager | Dietitian, Registered | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2015-08-06 |
| 1366844250 | Jenna Koeneman | Dietitian, Registered | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2014-09-23 |
| 1437567963 | Angela Boxberger | Dietitian, Registered | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2014-07-28 |
| 1043551047 | Kayla Melanson | Dietitian, Registered | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2013-03-15 |
| Find all providers in NORTH KANSAS CITY | ||||
| City | NORTH KANSAS CITY |
| Zip Code | 64116 |
Please comment or provide details below to improve the information on JACLYN MARIE 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.