JENNIFER ROTH (NPI# 1841735107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841735107 |
| Entity Type | Individual |
| Full Name | JENNIFER ROTH |
| Credential | PSY.D. |
| Practice Address |
4801 Veterans Dr Saint Cloud MN 56303-2015 |
| Mailing Address |
816 15th Ave N Sartell MN 56377-1999 |
| Practice Telephone | 3202521670 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306381033 | Jennifer Michelle Roth | Counselor | 6544 Ferguson St, Indianapolis, IN 46220-1178 | 2017-01-04 |
| 1538551700 | Jennifer Nicole Roth | Registered Nurse | 144 Erika Loop, Staten Island, NY 10312-6659 | 2015-02-25 |
| 1346647575 | Jennifer Wynn Roth | Massage Therapist | 2108 Broadwater Ave Ste 202, Billings, MT 59102-4732 | 2014-12-03 |
| 1346556149 | Jennifer Roth | Social Worker | 101 American Center Pl Ste 108, Tampa, FL 33619-4452 | 2010-08-31 |
| 1376543496 | Jennifer Ellen Roth | Physician Assistant | 524 S Washington St, Gettysburg, PA 17325-2594 | 2005-07-29 |
| 1447250733 | Jennifer Elizabeth Roth | Nurse Practitioner | 103 Azalea Way, Marshall, TX 75672-9265 | 2005-07-28 |
| 1477105427 | Jennifer Diane Roth | Nurse Practitioner | 624 Old Saint Marys Rd, Perryville, MO 63775-1837 | 2019-07-10 |
| 1205309895 | Jennifer A Roth | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-01-07 |
| 1689057325 | Jennifer Isabel Roth | Counselor | 2608 Old Fair Rd, Grand Island, NE 68803-5271 | 2015-06-30 |
| 1629476106 | Jennifer Marie Roth | Registered Nurse | 7701 Sheridan Blvd, Westminster, CO 80003-2605 | 2014-12-15 |
| Street Address |
4801 VETERANS DR |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675629 | Michelle P Pittman-leyendecker | Nurse Practitioner | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2005-10-31 |
| 1255939773 | Samantha Stager | Registered Nurse | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-10-16 |
| 1447866587 | Alyssa L Pumford | Dietitian, Registered | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-09-22 |
| 1427663905 | John David Estep | Social Worker | 4801 Veterans Dr, B28 Rm 155, Saint Cloud, MN 56303-2099 | 2020-09-11 |
| 1962012823 | Kelly A Pittman | Social Worker | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-05 |
| 1356951297 | Alyssa Anne Berscheid | Registered Nurse | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-05 |
| 1790395861 | Anna Elisabeth Lee | Dietitian, Registered | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-04 |
| 1932718004 | Bradee Schiefelbein | Audiologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-07-24 |
| 1346865532 | Kali Rae Pichotta | Nurse Practitioner | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-06-12 |
| 1174145783 | Renae Elizabeth Lockerby | Social Worker | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019960 | Joshua Gangl | Student in an Organized Health Care Education/Training Program | 726 25th Ave N, Saint Cloud, MN 56303-3260 | 2020-07-06 |
| 1780210617 | Maryam Sadough Shahmirzadi | Student in an Organized Health Care Education/Training Program | 4340 Clearwater Rd Apt 116, Saint Cloud, MN 56301-9642 | 2020-03-23 |
| 1669005195 | Raven Forester | Student in an Organized Health Care Education/Training Program | 2404 Deer Creek Blvd, Saint Cloud, FL 34772-8206 | 2020-02-12 |
| 1699338228 | Erik Bartho | Student in an Organized Health Care Education/Training Program | 575 7th St S Apt 302, Saint Cloud, MN 56301-4345 | 2019-04-18 |
| 1881119022 | Leslie Joyce Gonzalez | Student in an Organized Health Care Education/Training Program | 2540 King Oak Cir, Saint Cloud, FL 34769-6643 | 2017-08-09 |
| 1114466588 | Jared Richard Sherman | Student in an Organized Health Care Education/Training Program | 1200 E Division St Apt 307, Apt 307, Saint Cloud, MN 56304-0933 | 2017-02-18 |
| 1679928956 | Mikala Rae Gaffke | Student in an Organized Health Care Education/Training Program | 1038 Manor Ct, Saint Cloud, MN 56303-4810 | 2016-04-25 |
| 1326450412 | Sara F Poginy | Student in an Organized Health Care Education/Training Program | 2006 11th Ave S, Saint Cloud, MN 56301-5643 | 2014-05-23 |
| 1295980183 | Cotto's Medical | Student in an Organized Health Care Education/Training Program | 405 Brown Chapel Rd, Saint Cloud, FL 34769-1935 | 2008-11-19 |
| 1043832132 | Sadio Ahmed Mohamed | Student in an Organized Health Care Education/Training Program | 1555 Northway Dr Ste 200, Saint Cloud, MN 56303-4913 | 2020-05-12 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on JENNIFER 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.