Clarice Roth, ANP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

21960 Issued in NC

Practice address

Lower Level Reynolds Gym-Wingate Road
Wingate Road
Winston-Salem, NC 27109

Phone

(336) 758-5218

Fax

(336) 758-6054

NPI assigned

Feb 12, 2007

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

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1548302292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "GERMANTON",
            "state": "NC",
            "postal_code": "270190398",
            "telephone_number": "336-591-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOWER LEVEL REYNOLDS GYM-WINGATE ROAD",
            "address_2": "WINGATE ROAD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27109",
            "telephone_number": "336-758-5218",
            "fax_number": "336-758-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "CLARICE",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "21960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burgundy Rostchild
• Emily Byron Rostlund, M.D.
• Rafael Florin Rosu, NP
• Brando Rotelli, MD
• Andrew R. Roth, CRNA
• Deborah Ann Roth, PA-C
• Kale James Roth, M.D.
• Kimberlee Roth
• Angelica Rothermel, RN, BSN, CCRN
• Philip Paul Rothermel, D.D.S.

• Adult Health Nurse Practitioner in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.