Danielle Marie Roth

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

298571 Issued in AZ

Practice address

34225 N 27TH Dr Ste 146
Phoenix, AZ 85085-6090

Phone

(602) 832-7238

NPI assigned

Feb 3, 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

Medicare fee-for-service enrollment

Enrolled in AZ

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

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Love Lab PLLCGroup PAC ID 7113304114, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• The Love Lab PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Peoria, AZ
  • NPI 1730832668
  Medicare reassignment Care Compare group NPD
• Scottsdale Recovery II, LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
  • NPI 1093278277
  NPD (past)
• Scottsdale Recovery II, LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
  • NPI 1366905549
  NPD (past)
• Scottsdale Recovery II, LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
  • NPI 1558824730
  NPD (past)
• Scottsdale Recovery II, LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
  • NPI 1568085215
  NPD (past)

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1649976382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34225 N 27TH DR STE 146",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856090",
            "telephone_number": "602-832-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34225 N 27TH DR STE 146",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856090",
            "telephone_number": "602-832-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "298571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sari Roth-Roemer, PHD
• Alicia H. Roth, DNP
• Augusta Simpson Roth, MD
• Bayleigh Roth, MSW
• Bryan James Roth, DPM
• Debbie Elaine Roth
• Diane D. Roth, PSYNP
• Hillary Roth
• Karlsson Roth, PH.D.
• Steven William Roth, DDS

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.