DR. ALEXANDRA KRISTEN ROTH (NPI# 1588211379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588211379 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDRA KRISTEN ROTH |
| Credential | PHD |
| Practice Address |
6800 Nw 39th Expy Bethany OK 73008-2513 |
| Practice Telephone | 4057896711 |
| Mailing Telephone | 4057896711 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1335 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720350721 | Alexandra C Roth | Physical Therapist | 9350 Green Park Rd, Rehab Dept, Saint Louis, MO 63123-7211 | 2012-02-07 |
| 1063411528 | Alexandra Roth | Social Worker | 8500 Executive Park Ave, Suite 200, Fairfax, VA 22031-2225 | 2005-07-18 |
| Street Address |
6800 NW 39TH EXPY |
| City | BETHANY |
| State | OK |
| Zip Code | 73008-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235101643 | Tonya C Washburn | Physical Medicine & Rehabilitation | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2006-02-02 |
| 1881202398 | Marisol Torres | Occupational Therapist | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-07-21 |
| 1295353506 | Adele Burt | Nurse Practitioner | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-07-13 |
| 1710503750 | Ashton Rhylee Walton | Physical Therapist | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-06-24 |
| 1992339683 | Kristin Renee Whisenhunt | Dietitian, Registered | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-03-03 |
| 1861026254 | David Mathew | Nurse Practitioner | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-02-25 |
| 1902437635 | Caitlin Elizabeth Griffin | Social Worker | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-01-31 |
| 1558992800 | Corey Elizabeth Kelton | Occupational Therapist | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-01-27 |
| 1861035958 | Saeeda Sultana | Registered Nurse | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2019-10-22 |
| 1962043067 | Janae Lynn Myers | Occupational Therapist | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2019-10-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150151 | Kimberly Campbell | Counselor | 6612 Nw 42nd Street, Bethany, OK 73008 | 2018-10-23 |
| 1366943151 | Arkansas Liver and Gastroenterology, Pa | Clinic/Center | 2347 North Thompkins Ave, Bethany, OK 73008 | 2018-02-27 |
| 1881106805 | Tiffany Harmon | Physical Therapy Assistant | 6729 Nw 39th Exp., Sawyer Center, Bethany, OK 73008 | 2017-10-31 |
| 1740660257 | Michael Brobston | Specialist | 6729 Nw 39th Expressway, Bethany, OK 73008 | 2015-06-01 |
| 1043626120 | Danielle Manning | Case Manager/Care Coordinator | 6729 Nw Expressway, Bethany, OK 73008 | 2014-07-09 |
| 1487065157 | Carolyn Mgcdf Jones | Behavioral Analyst | 2209 Nth. Beaver Ave., Bethany, OK 73008 | 2014-05-15 |
| 1013327022 | Ephraim Kelley | Counselor | 2800 N. Rockwell Ave., Bethany, OK 73008 | 2014-04-29 |
| 1356600407 | Mallory Crosier | Occupational Therapist | 6800 Nw 39th Expresswaay, Bethany, OK 73008 | 2012-05-10 |
| 1326310897 | Isaac I Juarez | Psychologist | 2020 N Briarcliff Ave., Bethany, OK 73008 | 2012-01-31 |
| 1295015295 | Lauren Vanderloo | Counselor | 7908 Northwest 23rd St, Bethany, OK 73008 | 2011-08-22 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427257377 | Hannah Allen | Clinical Neuropsychologist | 6800 Nw 39th Expressway, Bethany, OK 73008 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140129 | Megan Marie Mcarthur | Clinical Neuropsychologist | 920 Stanton L Young Blvd # Wp3152, Oklahoma City, OK 73104-5036 | 2020-10-05 |
| 1154837185 | David E Hansen, Ph.d, PC | Clinical Neuropsychologist | 5512 S Lewis Ave Ste 8, Tulsa, OK 74105-7140 | 2017-12-28 |
| 1114438785 | Mind The Gap Neuropsychology Services Pllc | Clinical Neuropsychologist | 10621 Haskell Ln, Oklahoma City, OK 73162-8212 | 2017-10-23 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1295250207 | Lifechange Psychological Services, LLC | Clinical Neuropsychologist | 4117 Nw 122nd St Ste A1, Oklahoma City, OK 73120-8819 | 2017-08-10 |
| 1891218202 | Elite Therapy, LLC | Clinical Neuropsychologist | 1505 Renaissance Blvd, Edmond, OK 73013-3018 | 2017-07-18 |
| 1568990281 | Natalie Anne Emmert | Clinical Neuropsychologist | 920 Sl Young Blvd # Wp3440, Oklahoma City, OK 73104-5036 | 2017-05-25 |
| 1518210285 | Millennium Medical Services | Clinical Neuropsychologist | 520 W Rogers Blvd, Skiatook, OK 74070-1061 | 2012-10-18 |
| 1700177391 | Russell D Pella | Clinical Neuropsychologist | 5213 S Vandalia Ave, Apt. 4g, Tulsa, OK 74135-4038 | 2011-04-29 |
| 1861726663 | Mary Elizabeth Cardoni | Clinical Neuropsychologist | 5110 South Yale Avenue, Suite 103, Tulsa, OK 74135 | 2009-09-25 |
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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.