Linda Roth
Individual provider Active NPI Registered Nurse · Cheyenne Wells, CO
NPI 1962564005 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1962564005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 47309 (CO)
- Practice address
- 615 W 5 N
Cheyenne Wells, CO 80810 - Phone
- (719) 767-5616
- Fax
- (719) 767-8747
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Cheyenne | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 47309 | CO | Yes |
Addresses
Primary practice location
615 W 5 N
Cheyenne Wells, CO 80810
Mailing address
PO Box 38
Cheyenne Wells, CO 80810-0038
Phone (719) 767-5616
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27233782 | Medicaid | CO |
Other providers in Cheyenne Wells, CO
- Donna Lee March
- Percelina Mendoza
- Brian Loyd Miles
- Mindcare Solutions PC
- Kurt F Papenfus
- Jacqueline Renee Smith
- Wells Pharmacy
All providers in Cheyenne Wells, CO · Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.