Krystal Roth

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

215355 Issued in OK

Practice address

1815 E 15TH St
Tulsa, OK 74104-4610

Phone

(918) 809-6205

NPI assigned

Sep 26, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krystal.roth.1@26957.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.

• Early Script, LLC

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1730899626
  NPD
• Cronus PLLC

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1326389842
  NPD (past)

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1962281295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4769",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741590769",
            "telephone_number": "918-809-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E 15TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044610",
            "telephone_number": "918-809-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OK",
            "license": "215355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaina Rossicoe
• Kathy Rossman, NP
• Mackenzie Rosson
• Shelby Jo Rosson
• Brittany Rost
• Jeffrey David Rothman, LCSW
• Beau Rotramel
• Nicole Renee Rott, RN
• Chet Austin Rotton
• Keaton L Roulet

• Clinical Nurse Specialist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Nurse Specialist in Oklahoma

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