Angela Roth I, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9431484 Issued in FL

Practice address

7731 NW 11TH CT
Pembroke Pines, FL 33024-5203

Phone

(954) 639-1418

NPI assigned

Nov 26, 2019

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1356987267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7731 NW 11 TH CORT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7731 NW 11TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245203",
            "telephone_number": "954-639-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "ANGELA",
        "name_suffix": "I",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9431484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosenblum Victoria PA
• Bruce Richard Rosenkranz, D.C.
• Caryn Rosenthal, MS, RD, LD, CDCES
• Rossana Moura MD PA
• Arianna Rossi
• Benton Charles Rothfield, DDS
• Eric Rothschild, M.D.
• Roula Yazaji DDS, PA
• Cassandra Rouzeau
• Kaitlyn Rowan, PA-C

• Family Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.