Heather A Roth, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

52020 Issued in WY

Practice address

2500 Dell Range Blvd
Cheyenne, WY 82009-5273

Phone

(307) 630-4729

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Colorado in-Home CounselingGroup PAC ID 7214296409, 40 clinicians

Homedoc, PCGroup PAC ID 2961936927, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heather.roth.1@24259.direct.athenahealth.com

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.

• Colorado in-Home Counseling

  • Community/Behavioral Health Agency
  • Denver, CO
  • NPI 1093220006
  Medicare reassignment Care Compare group NPD
• Homedoc, PC

  dba Colorado HomeDoc

  • Internal Medicine Physician
  • Erie, CO
  • NPI 1821818832

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Liv in-Home Counseling & Care Management, LLC

  dba LIV Health

  • Primary Care Clinic/Center
  • Cheyenne, WY
  • NPI 1740604057

  Psychiatric/Mental Health

  NPD
• Heritage Family Medicine

  dba Heritage Senior Care

  • Family Medicine Physician
  • Fort Collins, CO
  • NPI 1669535118
  NPD (past)
• Lahey Clinic, Inc

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1063447316
  NPD (past)
• Lahey Clinic, Inc.

  dba Lahey Clinic

  • Internal Medicine Physician
  • Burlington, MA
  • NPI 1538194980
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1942351333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20092",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037002",
            "telephone_number": "307-630-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095273",
            "telephone_number": "307-630-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "259049",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0990361",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "057094-21",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "057094-23-03",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "52020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Johnson Rosenthal, PT
• Jennifer James Rosentreter, R.N.
• Jonathan Ross, MS CCC-A
• Erin Rossman, PT
• Margaret Elizabeth Rosso, LCSW
• Stacy Roth, MPT
• Jennifer Suzanne Rouse
• Tamara Madison Rowden, PT
• Gerald L Rowe, DMD
• Byron Rowley

• Nurse Practitioner in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.