PATRICIA NICOLE ROTH (NPI# 1629692868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629692868 |
| Entity Type | Individual |
| Full Name | PATRICIA NICOLE ROTH |
| Credential | LAC |
| Practice Address |
100 Lake Traverse Dr Sisseton SD 57262-7046 |
| Practice Telephone | 6056987606 |
| Practice Fax Number | 6057423888 |
| Mailing Telephone | 6056987606 |
| Mailing Fax Number | 6057423888 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15061692 | SD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790751840 | Patricia A Roth | Family Medicine | 2515 N Broad St, Colmar, PA 18915-9773 | 2006-02-28 |
| 1033605894 | Patricia Jean Roth | Health Educator | 448 Court Pl, Beulah, MI 49617-9518 | 2018-07-05 |
| 1508988619 | Patricia Roth | Counselor | 4510 N 37th Ave, Phoenix, AZ 85019-3206 | 2007-04-06 |
| 1295892842 | Patricia D. Roth | Marriage & Family Therapist | 420 Brookside Ave, Redlands, CA 92373-4610 | 2007-01-02 |
| 1285719427 | Patricia A. Roth | Dental Assistant | 5073 Columbia Pike, Spring Hill, TN 37174-8607 | 2006-10-26 |
| 1366407645 | Patricia A. Roth | Anesthesiology | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2006-04-19 |
| Street Address |
100 LAKE TRAVERSE DR |
| City | SISSETON |
| State | SD |
| Zip Code | 57262-7046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672248 | Harvey H Baker | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2005-07-08 |
| 1275143315 | Kayley Perkins | Pharmacist | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2020-08-04 |
| 1518575174 | Lindsay Dawn Peterson | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2020-07-20 |
| 1306487475 | Leah Lorena Federico Rumans | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2019-09-30 |
| 1437718616 | Sherrie Renae Lee | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2019-06-11 |
| 1942770078 | Jennifer Elizabeth Hanson | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2018-12-02 |
| 1376037721 | Jaimi Lynn Pochant | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2018-06-19 |
| 1790274074 | Ferdinand Ekwutosi Enudu | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2018-05-02 |
| 1881102010 | Jasmine Shanae Hypolite | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262 | 2018-01-23 |
| 1659818227 | Migel N Nzeakor | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2017-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780149864 | Lewis Family Drug, LLC | Pharmacy | 925 Sd Hwy 10, Sisseton, SD 57262 | 2019-02-04 |
| 1346734696 | Sisseton-wahpeton Oyate | Private Vehicle | 12554 Bia Hwy 711, Agency Village, SD 57262 | 2018-06-20 |
| 1902106925 | Deborah Pauline Francis | Pharmacist | 1712 Sd Hwy 12, Pamida Pharmacy, Sisseton, SD 57262 | 2010-10-25 |
| 1508001322 | Trina Marie Cleveland | Registered Nurse | 44942 125th Street, Sisseton, SD 57262 | 2008-12-08 |
| 1467427625 | John Thomas Zimmer | Dentist | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2006-02-21 |
| 1720634132 | Leah Adele Weiss | Pharmacist | 100 Lake Traverse Drive, Attn: Pharmacy, Sisseton, SD 57262 | 2019-08-12 |
| 1568906808 | Joshua S Satlak | Pharmacist | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2016-12-06 |
| 1205278579 | Katie Elaine Bragg | Registered Nurse | 100 Lake Traverse Drive, Wwkmhcc Indian Health Service, Sisseton, SD 57262 | 2013-07-26 |
| 1497070080 | James Brian Moeller | Spec/Tech, Pathology | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2010-04-07 |
| 1619063757 | Valinda Jeanne Redwing White | Nutritionist | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2006-10-05 |
| Find all providers in zip 57262 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699288910 | Ronald G. Hill | Counselor | 388 Dakota Ave, Sisseton, SD 57262-3327 | 2017-11-08 |
| 1083127591 | Richard Francis Bird | Counselor | 388 Dakota Ave, Sisseton, SD 57262-3327 | 2017-11-07 |
| 1881107290 | Clarice Elvira Bearhill | Counselor | 388 Dakota Ave, Sisseton, SD 57262-3327 | 2017-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245849488 | Derric Oliver Running Horse | Counselor | 1520 Haines Ave Ste 9, Rapid City, SD 57701-0710 | 2020-07-23 |
| 1174141824 | Colleen Beth Zimmerman | Counselor | 1520 Haines Ave Ste 6, Rapid City, SD 57701-0710 | 2020-07-09 |
| 1790242782 | Kelsey Hansen | Counselor | 1010 9th St Ste 2, Rapid City, SD 57701-3782 | 2019-02-26 |
| 1134686652 | Marcella Ann Robertson | Counselor | 1005 W 1st St Ste 2, Redfield, SD 57469-1535 | 2019-02-21 |
| 1629569066 | Robin Lynn Erz | Counselor | East Central Behavioral Health, 211 4th Street, Brookings, SD 57006 | 2018-05-22 |
| 1962991232 | Danae Lynn Mutchelknaus | Counselor | 57107, Sioux Falls, SD 57107 | 2018-05-02 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| 1760995435 | Rise Counseling and Consulting, LLC | Counselor | 1801 E Wells Ave Ste 1, Pierre, SD 57501-4000 | 2017-11-15 |
| 1699145532 | Counseling Associates, Alla Jones | Counselor | 726 S. Washington Ave., Madison, SD 57042 | 2015-10-05 |
| 1932594322 | Jennie C Mayer | Counselor | 6330 S Western Ave Ste 140, Sioux Falls, SD 57108-3412 | 2015-04-01 |
| Find all providers with the same taxonomy | ||||
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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.