Kayla Nicole Roth, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

2493998 Issued in MN

Practice address

3641 Blaisdell Ave Apt 1
Minneapolis, MN 55409-1212

Phone

(402) 690-6113

NPI assigned

Sep 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1144047655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 BLAISDELL AVE APT 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091212",
            "telephone_number": "402-690-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 BLAISDELL AVE APT 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091212",
            "telephone_number": "402-690-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MN",
            "license": "2493998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Roth, DNP
• Heidi Marie Roth
• Jacob Roth
• Kacie Roth, CNP
• Kathryn Ann Roth
• Risa Lorena Roth, M.ED.
• Tammie Roth, LADC
• Nicholas Richard Rothbard, DO
• Peter R Rothe, MD
• David A Rothenberger, M.D.

• Lactation Consultant (Registered Nurse) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Lactation Consultant (Registered Nurse) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.