Individual provider Active NPI

Emily Roth, WHNP

  • Women's Health Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1972350528
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1-148132 Issued in AL
Practice address
3715 Dauphin St BLDG 2
Mobile, AL 36608-1771
Phone
(251) 217-2020
Fax
(850) 857-0670
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1-148132 AL Primary

Addresses

Primary practice location

3715 Dauphin St BLDG 2
Mobile, AL 36608-1771

Mailing address

1713 Arlington CT
Mobile, AL 36609-2600
Phone (251) 656-9996

Other practice location 1

4400 Bayou Blvd Ste 36
Pensacola, FL 32503-2682
Phone (850) 857-3733

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

State licenses

LicenseStateTypeSpecialty
1-148132ALMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1972350528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 ARLINGTON CT",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092600",
            "telephone_number": "251-656-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST BLDG 2",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081771",
            "telephone_number": "251-217-2020",
            "fax_number": "850-857-0670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Bayou Blvd Ste 36",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032682",
            "country_code": "US",
            "telephone_number": "850-857-3733",
            "fax_number": "850-857-0670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "EMILY",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-148132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.