Veronica Renee Roth, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1073021 Issued in TX

Practice address

723 Main St
Liberty, TX 77575-4813

Phone

(936) 776-4517

Fax

(936) 253-8910

NPI assigned

Jan 13, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Express Urgent Care, PLLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1740619667
  NPD

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1285349233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 MAIN ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754813",
            "telephone_number": "936-776-4517",
            "fax_number": "936-253-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 MAIN ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754813",
            "telephone_number": "936-776-4517",
            "fax_number": "936-253-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "VERONICA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1073021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "723 Main St",
            "city": "Liberty",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775754813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Reed, PA-C
• Alvin Joseph Richard, D.C.
• Maria Nicole Richardson, OTD
• Steven Glen Rodger, R.PH.
• Patricia Rollins
• Jordin Seidel
• Diane Slack
• Brandon Kyle Smith, PA-C
• Ruby Smith, LCDC
• Sonographic Imaging Services

• Family Nurse Practitioner in Liberty, TX
• Providers in Liberty, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.