KELSI ROTH (NPI# 1487111951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487111951 |
| Entity Type | Individual |
| Full Name | KELSI ROTH |
| Credential | RT(R) |
| Practice Address |
1323 Holmes Ave Sheridan WY 82801-2230 |
| Practice Telephone | 3078990550 |
| Mailing Telephone | 3078990550 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 504452 | WY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1323 HOLMES AVE |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063707834 | Amanda Lynette Milholland | Radiologic Technologist | 318 W Church St, Sheridan, AR 72150-2113 | 2011-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285087684 | Andrew Marcarelli | Radiologic Technologist | 29 Black Coal Dr, Ft Washakie, WY 82514 | 2016-07-20 |
| 1598158719 | Melba Lee | Radiologic Technologist | 29 Black Coal Road, Fort Washakie, WY 82514 | 2015-03-12 |
| 1821425026 | Shelby Zentner | Radiologic Technologist | 14 Great Plains Road, Arapahoe, WY 82510 | 2013-10-02 |
| 1962749572 | Courtnie Stringham | Radiologic Technologist | Black Coal Rd Bldg 29, Fort Washakie, WY 82514-0128 | 2013-01-16 |
| 1366774101 | Robin Nicole Neubauer | Radiologic Technologist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2010-02-04 |
| 1245427988 | Thomas Glen Asay | Radiologic Technologist | 777 Avenue H, Powell, WY 82435-2260 | 2007-09-26 |
| 1558585737 | Gem City Bone & Joint | Radiologic Technologist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2007-04-12 |
| 1235274523 | Western Medical Associates, L.L.C. Diagnostics and Imaging | Radiologic Technologist | 6500 E 2nd St, Suite 100, Casper, WY 82609-4321 | 2007-02-21 |
| 1649326687 | Castle Rock Special Hospital District | Radiologic Technologist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2007-01-25 |
| 1710097647 | Valley Xray LLC | Radiologic Technologist | 124 Petersen Parkway, 124 Petersen Parkway Suite 2, Thayne, WY 83127 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELSI 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.