Individual provider Active NPI

Eileen Roth, RN

  • School Registered Nurse
  • Rochester, NY
National Provider Identifier
1013211200
Registry record updated Jan 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
498776-1 Issued in NY
Practice address
1000 N Greece Rd
Rochester, NY 14626-1031
Phone
(585) 225-3870
Fax
(585) 225-1336
NPI assigned
Jan 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 498776-1 NY Primary

Addresses

Primary practice location

1000 N Greece Rd
Rochester, NY 14626-1031

Mailing address

1000 N Greece Rd
Rochester, NY 14626-1031
Phone (585) 225-3870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
498776-1NYMDSchool Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293840000000",
    "number": "1013211200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N GREECE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146261031",
            "telephone_number": "585-225-3870",
            "fax_number": "585-225-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N GREECE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146261031",
            "telephone_number": "585-225-3870",
            "fax_number": "585-225-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "EILEEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-01",
        "last_updated": "2011-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "498776-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.