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MRS. DIANA TONG ROETTING PA-C
NPI 1891036059
Physician Assistant - Medical in Charlotte, NC

Active since March 12, 2013
130 PROVIDENCE RD STE 100, CHARLOTTE, NC 28207(704) 333-9113(704) 333-9757 Get Directions Write a Review

NPPES record last updated: November 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Diana Tong Roetting Pa-c NPPES

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

MRS. DIANA TONG ROETTING PA-C (NPI 1891036059) is an individual medical provider in Charlotte, North Carolina, licensed in North Carolina (0010-04133) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1891036059
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. DIANA TONG ROETTINGCredential: PA-C
Location Address130 PROVIDENCE RD STE 100Charlotte, NC 28207-1242
Mailing Address2952 Craftsman LnCharlotte, NC 28204-4392 · (512) 296-9112
Phone(704) 333-9113
Fax(704) 333-9757
Sole ProprietorNo
Enumeration DateMarch 12, 2013
Last NPPES UpdateNovember 20, 2014
✔ NPI 1891036059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 0010-04133
130 PROVIDENCE RD STE 100, Charlotte, NC 28207
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Other Identifiers 1

Medicare PINP01191996NC

Other Providers at the Same Location NPPES 6

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

DR. ELIZABETH FAIRCLOTH ROSTAN M.D.
Dermatology
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113
ELISABETH EVE CRUZ PA-C
Physician Assistant
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113
ALEXANDRA CHANEL MONTGOMERY MD
Dermatology
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9112
CHARLOTTE SKIN & LASER, P.A.
Specialist
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113
KAMILLA I ZETER PA-C
Physician Assistant
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113
ALEXIS COELHO LEWIS PA-C
Physician Assistant
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113

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 Diana Roetting's NPI number?

The NPI number for Diana Roetting is 1891036059. It was assigned to this individual provider in the NPPES registry on March 12, 2013.

Where is Diana Roetting located?

Diana Roetting practices at 130 Providence Rd Ste 100, Charlotte, NC 28207. The listed phone number is (704) 333-9113.

What is Diana Roetting's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Diana Roetting was last updated on November 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.