JODIE M ROTH RN MSN CPNP-AC NPI 1053433102

NPI Information

NPI: 1053433102
Provider Name: JODIE M ROTH, RN, MSN, CPNP-AC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1301 BARBARA JORDAN BLVD STE 307
AUSTIN, TX
ZIP 78723
Phone: (512) 324-0000
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Jodie M Roth, RN, MSN, CPNP-AC is a pediatrics nurse practitioner in Austin, TX. Jodie M Roth, RN, MSN, CPNP-AC NPI is 1053433102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1301 BARBARA JORDAN BLVD STE 307
AUSTIN, TX
ZIP 78723-080
Phone: (512) 324-0000

The NPI 1053433102 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 7/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		740243	TEXAS	No
2	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	740243	TEXAS	No
3	363LP0200X	Nurse Practitioner	Pediatrics	740243	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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