Tanja N Roth

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

74856 Issued in KS

Practice address

330 SW Oakley Ave
Topeka, KS 66606-1995

Phone

(785) 233-1730

Fax

(785) 354-1068

NPI assigned

Nov 11, 2006

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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valeo Behavioral Health Care IncGroup PAC ID 0446164321, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Astra Mental Health and Recovery, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Topeka, KS
  • NPI 1306812060
  Medicare reassignment Care Compare group NPD
• Professional Behavioral Health Medicine

  • Community/Behavioral Health Agency
  • Topeka, KS
  • NPI 1447621651
  Medicare reassignment Authorized official
• Astra Mental Health and Recovery, Inc.

  • Adult Medicine Physician
  • Topeka, KS
  • NPI 1366972879
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Stormont-Vail Healthcare Inc

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1194782409
  Care Compare affiliation

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1316018518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SW 7TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062330",
            "telephone_number": "785-273-2252",
            "fax_number": "785-273-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW OAKLEY AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061995",
            "telephone_number": "785-233-1730",
            "fax_number": "785-354-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "TANJA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-11",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatemeh Rostami, PHARMD
• Timothy Rot, PSY.D.
• John David Roth, RN
• Katie Roth
• Madison Roth, ED.S.
• Carrie D Rottinghaus, PT
• Charles Albert Rottinghaus, O.D.
• Paige J Roudybush
• Brianna Roush
• Aaron Keith Rowland, LPN

• Psychiatric/Mental Health Nurse Practitioner in Topeka, KS
• Providers in Topeka, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.