Ansley Bree Analise Roth, MS, BSN, RN, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

A-3268228 Issued in NE

Practice address

1760 County Road J
Wahoo, NE 68066-4152

Phone

(402) 443-4191

Fax

(402) 443-1473

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Bachelor on Science - Nursing, Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1235817008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4191",
            "fax_number": "401-443-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4191",
            "fax_number": "402-443-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "ANSLEY",
        "middle_name": "BREE ANALISE",
        "name_prefix": "Ms.",
        "credential": "MS, BSN, RN, NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NE",
            "license": "A-3268228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in Wahoo, NE
• Providers in Wahoo, NE by specialty
• Health & Wellness Coach in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.