JACLYN MARIE ROTH MS, RD, LD
NPI 1891045076
Dietitian, Registered in North Kansas City, MO

Q: What is Jaclyn Roth's NPI number?

The NPI number for Jaclyn Roth is 1891045076. It was assigned to this individual provider in the NPPES registry on September 14, 2012. The provider is also known as Jackie Roth.

Q: What is Jaclyn Roth's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Roth was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 14, 2012

2790 CLAY EDWARDS DR STE 600, NORTH KANSAS CITY, MO 64116(816) 691-5048(816) 346-7039 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jaclyn Marie Roth Ms, Rd, Ld NPPES

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

JACLYN MARIE ROTH MS, RD, LD (NPI 1891045076) is an individual dietitian, registered in North Kansas City, Missouri, licensed in Missouri (2011016811) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1891045076

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJACLYN MARIE ROTHCredential: MS, RD, LD

Location Address2790 CLAY EDWARDS DR STE 600North Kansas City, MO 64116-3274

Mailing Address2790 Clay Edwards Dr Ste 600North Kansas City, MO 64116-3274 · (816) 691-5048 · Fax (816) 346-7039

Phone(816) 691-5048

Fax(816) 346-7039

Sole ProprietorNo

Enumeration DateSeptember 14, 2012

Last NPPES UpdateMarch 10, 2021

NPPES CertifiedMarch 10, 2021

✔ NPI 1891045076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in MO · 2011016811✔ Licensed in MO · 1048325

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

2790 CLAY EDWARDS DR STE 600, North Kansas City, MO 64116

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Other Names 1

Other Name (5)Jackie Roth

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Marie Roth Ms, Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jaclyn Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meritas Health Corporation

Same address

Otolaryngology

2790 CLAY EDWARDS DR, SUITE 500
North Kansas City, MO 64116

Reassigned Medicare billing, Missouri enrollment
702 clinicians in this Medicare group

NPI 1336444918 (816) 994-0040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

CHRISTOPHER L WISE M.D.

Orthopaedic Surgery (Orthopaedic Trauma)

2790 CLAY EDWARDS DR STE 600
KANSAS CITY, MO 64116

Clay County (816) 561-3003

DR. ANDRE MIKLOS JAKOI M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

2790 CLAY EDWARDS DR STE 600
KANSAS CITY, MO 64116

Clay County (816) 561-3003

JEFFREY AARON KREMPEC MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

2790 CLAY EDWARDS DR STE 600
KANSAS CITY, MO 64116

Clay County (816) 561-3003

DR. NATHAN JOHN KIEWIET M.D.

Orthopaedic Surgery (Foot and Ankle Surgery)

2790 CLAY EDWARDS DR STE 600
KANSAS CITY, MO 64116

Clay County (816) 561-3003

BRIANNA ELIZABETH FURST FNP

Nurse Practitioner (Family)

2790 CLAY EDWARDS DR STE 600
NORTH KANSAS CITY, MO 64116

Clay County (816) 691-5048

JOSHUA MICHAEL MOUROT M.D.

Surgery

2790 CLAY EDWARDS DR STE 600
NORTH KANSAS CITY, MO 64116

Clay County (816) 691-5048

DR. BREANN MICHELLE KELLEY MD

Internal Medicine

2790 CLAY EDWARDS DR STE 600
NORTH KANSAS CITY, MO 64116

Clay County (816) 691-5048

MICHELLE GARCIA RD

Dietitian, Registered

2790 CLAY EDWARDS DR STE 600
NORTH KANSAS CITY, MO 64116

Clay County (816) 691-5048

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 Jaclyn Roth's NPI number?

The NPI number for Jaclyn Roth is 1891045076. It was assigned to this individual provider in the NPPES registry on September 14, 2012. The provider is also known as Jackie Roth.

Where is Jaclyn Roth located?

Jaclyn Roth practices at 2790 Clay Edwards Dr Ste 600, North Kansas City, MO 64116. The listed phone number is (816) 691-5048.

What is Jaclyn Roth's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jaclyn Roth enrolled in Medicare?

Yes. Jaclyn Roth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Roth reassigns Medicare benefits to Meritas Health Corporation (North Kansas City, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaclyn Roth accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Jaclyn Roth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Roth was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.