DIANE ROTH (NPI# 1790916864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790916864 |
| Entity Type | Individual |
| Full Name | DIANE ROTH |
| Credential | RN |
| Practice Address |
1465 S Grand Blvd Saint Louis MO 63104-1003 |
| Practice Telephone | 3142682700 |
| Practice Fax Number | 3142682798 |
| Mailing Telephone | 3142682700 |
| Mailing Fax Number | 3142682798 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
066206 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861552168 | Diane Louise Roth | Registered Nurse | 2901 Brent Dr, Sanborn, NY 14132-9240 | 2006-12-11 |
| 1215436035 | Diane Marie Roth | Case Manager/Care Coordinator | 29125 Chagrin Blvd, Pepper Pike, OH 44122-5727 | 2018-02-07 |
| 1871038422 | Diane Roth | Counselor | 4 Post Office Sq, Taunton, MA 02780-3207 | 2017-01-05 |
| 1649615717 | Diane B. Roth | Speech-Language Pathologist | 3501 E Palmetto St, Florence, SC 29506-4015 | 2013-05-02 |
| 1578830329 | Diane C Roth | Occupational Therapist | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2011-11-22 |
| 1093810137 | Diane D. Roth | Nurse Practitioner | 1919 E Thomas Rd, Department of Outpatient Psychiatry, Phoenix, AZ 85016-7710 | 2006-09-13 |
| 1770502676 | Diane E. Roth | Registered Nurse | 5000 West National Avenue, Milwaukee, WI 53295-0001 | 2006-07-19 |
| Street Address |
1465 S GRAND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676921 | Gunjanpreet Kaur | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-07-21 |
| 1972128510 | Millicent Rose Palacios | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-06-09 |
| 1083241863 | Nathaniel Joseph Conner | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1467089177 | Stacy Kollanur Mathews | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1568099299 | Susan Aye Mya Oo | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1861029514 | Gregory Joseph Weissler II | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1154958874 | Brendan Michael Mcenery | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1316574049 | Satvika Mikkilineni | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1972130607 | Katherine Letha Randolph | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1346877081 | Samuel Ryan Richey | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306972500 | Stacy Jane Sisson | Registered Nurse | 5608 Cliff Cave Crossing Dr, Saint Louis, MO 63129-4368 | 2007-02-24 |
| 1952922395 | Jennifer Fongsamouth | Registered Nurse | 1035 Bellevue Ave Ste 500, Saint Louis, MO 63117-1843 | 2020-04-27 |
| 1417445370 | Andrea Desi Rae Bieser | Registered Nurse | 1430 Olive St, Saint Louis, MO 63103-2360 | 2018-04-26 |
| 1700391281 | Brandy La-keysha Cook | Registered Nurse | 11133 Dunn Rd Ste 2427, Saint Louis, MO 63136-6163 | 2017-12-06 |
| 1245637487 | Latisha Copple | Registered Nurse | 1430 Olive St, Suite 100, Saint Louis, MO 63103-2303 | 2014-12-03 |
| 1295974699 | Larry Williams | Registered Nurse | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2009-02-10 |
| 1316127079 | Florinda Kay Garrett | Registered Nurse | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2007-11-11 |
| 1649399403 | Valerie Jean Allen Foster | Registered Nurse | 2312 Lemay Ferry Rd, Saint Louis, MO 63125-3127 | 2007-03-29 |
| 1770692048 | Theresa Lee Mcquaide | Registered Nurse | 13065 Old Tesson Ferry Rd, Saint Louis, MO 63128-3441 | 2006-08-30 |
| 1144339318 | Carlotta Taylor-white | Registered Nurse | 969 N Mason Rd, Ste 160, Saint Louis, MO 63141-6338 | 2006-08-30 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
Please comment or provide details below to improve the information on DIANE 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.