SARAH ROTH (NPI# 1891330726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891330726 |
| Entity Type | Individual |
| Full Name | SARAH ROTH |
| Credential | AGACNP-BC |
| Practice Address |
3750 Landmark Dr Ste B Lafayette IN 47905-6652 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
28210194A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189043 | Sarah Elizabeth Roth | Speech-Language Pathologist | 14500 E 42nd St S Ste 220, Independence, MO 64055-4700 | 2019-11-18 |
| 1639712383 | Sarah Roth | Dietitian, Registered | 411 Park Grove Dr Ste 720, Katy, TX 77450-1577 | 2019-10-25 |
| 1699264838 | Sarah E Roth | Physical Therapist | 12360 Princeton Dr Unit A, Huntley, IL 60142 | 2018-05-03 |
| 1376060095 | Sarah Elizabeth Roth | Speech-Language Pathologist | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2017-08-23 |
| 1174923676 | Sarah Roth | Pharmacist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2014-09-03 |
| 1518304252 | Sarah Roth | Emergency Medicine | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2013-06-03 |
| Street Address |
3750 LANDMARK DR STE B |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-6652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730106410 | Erick Stephanian | Neurological Surgery | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2006-07-17 |
| 1881205755 | Nicole Srutowski | Nurse Practitioner | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2020-08-13 |
| 1366968562 | Nichole E. Tolle | Specialist/Technologist, Other | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2017-08-18 |
| 1548451040 | William Brian Kuhn | Neurological Surgery | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285182550 | Elizabeth Anne Summerhayes | Nurse Practitioner | 3542 Oconner Dr, Lafayette, CA 94549-4933 | 2016-09-15 |
| 1194106674 | Jessica J. Meredith | Nurse Practitioner | 4118 Trees Dr, Lafayette, IN 47909-3450 | 2015-06-10 |
| 1013291350 | Shelly Sebastien Richard | Nurse Practitioner | 501 W Saint Mary Blvd Ste 200, Lafayette, LA 70506-4665 | 2011-10-05 |
| 1134442692 | Christine Devillier Richard | Nurse Practitioner | 522 Harrell Dr, Lafayette, LA 70503-4935 | 2010-03-11 |
| 1679761761 | Grace Ihsiu Todd | Nurse Practitioner | 964 Mezzanine Dr, Planned Parenthood of Indiana and Kentucky, Lafayette, IN 47905-8631 | 2007-10-15 |
| 1396761060 | Deirdre Irene Detraz | Nurse Practitioner | 2801 Kaliste Saloom Rd, Suite 200 B, Lafayette, LA 70508-7181 | 2006-07-14 |
| 1861451106 | Anne Elizabeth Zahnke | Nurse Practitioner | 1 W 240 S, Lafayette, IN 47909-6303 | 2006-03-23 |
| 1194728568 | Gilbert Almanza | Nurse Practitioner | 1345 Unity Pl, Suite 345, Lafayette, IN 47905-5760 | 2005-05-31 |
| 1235774431 | Rdd Consulting | Nurse Practitioner | 3400 Moss St Ste B, Lafayette, LA 70507-6114 | 2019-11-12 |
| 1275176547 | Nadia Marie Oquendo | Nurse Practitioner | 1205 N 14th St, Lafayette, IN 47904-2024 | 2019-10-19 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on SARAH 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.