Active NPI
Hailee Roth
- Social Worker
- Vancouver, WA
National Provider Identifier
1861974032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 9300 NE Oak View Dr
Vancouver, WA 98662-6157 - Phone
- (360) 567-2211
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | WA | ||
| Social Worker | 104100000X | WA | Primary |
Addresses
Primary practice location
9300 NE Oak View Dr
Vancouver, WA 98662-6157
Mailing address
11803 NE 124TH Ave Apt G115
Vancouver, WA 98682-2094
Phone (360) 334-1833
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558593350 | Medicaid | WA | |
| 1861974032 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1861974032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11803 NE 124TH AVE APT G115",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986822094",
"telephone_number": "360-334-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 NE OAK VIEW DR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626157",
"telephone_number": "360-567-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "HAILEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558593350",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861974032",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.