Daniel William Roth, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

848817 Issued in NV

Practice address

8766 Evan Lilas St
Las Vegas, NV 89148-5112

Phone

(702) 335-7290

NPI assigned

Dec 7, 2021

Sex

Male

Sole proprietor

Yes

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

Enrolled in NV

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nathan Adelson Hospice IncGroup PAC ID 6709820129, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nathan Adelson Hospice Hospice, Las Vegas, NV, CCN 291500
• Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Nathan Adelson Hospice Inc

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1639147051
  Medicare reassignment Care Compare group NPD
• Center for Compassionate Care and Palliative Services Institute

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Las Vegas, NV
  • NPI 1639494867
  NPD
• Trusted Primary Care

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1114509809
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Nathan Adelson Hospice Inc

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1639147051
  Care Compare affiliation
• Sunrise Hospital and Medical Center, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1861439952
  Care Compare affiliation

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1982362950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8766 EVAN LILAS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485112",
            "telephone_number": "702-335-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8766 EVAN LILAS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485112",
            "telephone_number": "702-335-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "DANIEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "848817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Rotenberry
• Glenn K. Roter, O.D.
• Amanda Roth
• Andrew Roth
• Anna Lee Roth
• Desiree Parras Roth, PHARMD
• Ellen Roth
• Jeanne Marie Roth
• Jeffrey Joseph Roth, MD
• Robert Stephan Roth, M.D.

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.