MS. ABBY ROSE ROTH NP-C
NPI 1134465065
Nurse Practitioner - Family in Eagan, MN

Active since December 20, 2012
4241 JOHNNY CAKE RIDGE RD, EAGAN, MN 55122(866) 389-2727 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Abby Rose Roth Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ABBY ROSE ROTH NP-C (NPI 1134465065) is an individual family provider in Eagan, Minnesota, licensed in Minnesota (R-161224-8) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1134465065
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. ABBY ROSE ROTHCredential: NP-C
Location Address4241 JOHNNY CAKE RIDGE RDEagan, MN 55122-2235
Mailing Address2240 E 42nd StMinneapolis, MN 55407-3049 · (507) 269-4279
Sole ProprietorNo
Enumeration DateDecember 20, 2012
NPI 1134465065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · R-161224-8
4241 JOHNNY CAKE RIDGE RD, Eagan, MN 55122

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Pharmacy (Community/Retail Pharmacy)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Pharmacy
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Pharmacist
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abby Roth's NPI number?

The NPI number for Abby Roth is 1134465065. It was assigned to this individual provider in the NPPES registry on December 20, 2012.

Where is Abby Roth located?

Abby Roth practices at 4241 Johnny Cake Ridge Rd, Eagan, MN 55122. The listed phone number is (866) 389-2727.

What is Abby Roth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Abby Roth was last updated on December 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.