MRS. ROBERTA LAURENE ROTH (NPI# 1780225011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780225011 |
| Entity Type | Individual |
| Full Name | MRS. ROBERTA LAURENE ROTH |
| Other Name | MS. ROBERTA LAURENE MANKLE |
| Practice Address |
1501 San Pedro Se Albuquerque NM 87108 |
| Practice Telephone | 5052651711 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134107816 | Roberta Roth | Social Worker | 535 Spyglass Dr, Eugene, OR 97401-2089 | 2006-01-04 |
| Street Address |
1501 SAN PEDRO SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449720 | Cynthia Paulsen Smith | Pharmacist | 1501 San Pedro Se, Albuquerque, NM 87108-5153 | 2005-06-30 |
| 1750550463 | Gloria Veronica Garza | Dietitian, Registered | 1501 San Pedro Se, New Mexico Va Health Care System, Albuquerque, NM 87108 | 2008-02-27 |
| 1871703405 | Carol S Chavez | Physician Assistant | 1501 San Pedro Se, Albuquerque, NM 87108 | 2007-05-23 |
| 1154410132 | Donald Emerson Stehr | Internal Medicine | 1501 San Pedro Se, Albuquerque, NM 87108 | 2006-10-11 |
| 1366530933 | Ricardo Davila | Preventive Medicine | 1501 San Pedro Se, New Mexico Va Health Care System, Albuquerque, NM 87108-5154 | 2006-10-10 |
| 1770678963 | Kathleen Louisa Trujillo Ching | Student in an Organized Health Care Education/Training Program | 1501 San Pedro Se, Albuquerque, NM 87108 | 2006-10-04 |
| 1811081599 | Mary Jo Hendricks | Nurse Practitioner | 1501 San Pedro Se, Albuquerque, NM 87108 | 2006-10-03 |
| 1467545145 | Jessica Jo Lee | Speech-Language Pathologist | 1501 San Pedro Se, Albuquerque, NM 87108 | 2006-10-02 |
| 1700985868 | Eddie Segears Jr. | Kinesiotherapist | 1501 San Pedro Se, Va Medical Center, Albuquerque, NM 87108 | 2006-09-22 |
| 1750484093 | Joyce Lee Powers | Nurse Practitioner | 1501 San Pedro Se, Albuquerque, NM 87108 | 2006-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360291 | Frances J. Dewent | Technician | 504 Aragon St Se, Albuquerque, NM 87123 | 2020-09-09 |
| 1962014522 | Mary Carrillo | Technician | 435 Bluethorn Ct Sw, Albuquerque, NM 87121-9331 | 2020-08-17 |
| 1205445897 | Doris C Hubert | Technician | 12716 Tomlinson Dr Se, Albuquerque, NM 87123-3716 | 2020-07-29 |
| 1932723897 | Kathryn L Bode | Technician | 8501 Rancho Del Cerro Dr Ne, Albuquerque, NM 87113-2076 | 2020-06-05 |
| 1295359750 | Severo Baca IIi | Technician | 5600 Gibson Blvd Se Apt 144, Albuquerque, NM 87108-5391 | 2020-06-01 |
| 1144840679 | Alexander Villalonga | Technician | 3013 Conchas St Ne, Albuquerque, NM 87111-4744 | 2020-04-24 |
| 1598308967 | Attila Peter Veres | Technician | 91 Juniper Hill Rd Ne, Albuquerque, NM 87122-1910 | 2019-10-17 |
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
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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.