KRYSTAL ROTH
NPI 1962281295
Clinical Nurse Specialist in Tulsa, OK

Q: What is Krystal Roth's NPI number?

The NPI number for Krystal Roth is 1962281295. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Q: What is Krystal Roth's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Q: When was this NPI record last updated?

The NPPES record for Krystal Roth was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 26, 2023

1815 E 15TH ST, TULSA, OK 74104(918) 809-6205 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Krystal Roth NPPES

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

KRYSTAL ROTH (NPI 1962281295) is an individual clinical nurse specialist in Tulsa, Oklahoma, licensed in Oklahoma (215355) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1962281295

Entity TypeIndividualFemale

Primary Taxonomy364S00000X

Provider Legal NameKRYSTAL ROTH

Location Address1815 E 15TH STTulsa, OK 74104-4610

Mailing AddressPo Box 4769Tulsa, OK 74159-0769 · (918) 809-6205

Phone(918) 809-6205

Sole ProprietorNo

Enumeration DateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1962281295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364S00000X

License✔ Licensed in OK · 215355

Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

1815 E 15TH ST, Tulsa, OK 74104

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Other Providers at the Same Location NPPES 4

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

TRANQUILITY HOSPICE LLC

Hospice Care, Community Based

1815 E 15TH ST
TULSA, OK 74104

Tulsa County (918) 809-6205

CRONUS PLLC

Internal Medicine

1815 E 15TH ST
TULSA, OK 74104

Tulsa County (918) 299-8232

DUSTIN REIF DC

Chiropractor

1815 E 15TH ST
TULSA, OK 74104

Tulsa County (918) 401-0377

EARLY SCRIPT, LLC

Internal Medicine

1815 E 15TH ST
TULSA, OK 74104

Tulsa County (918) 809-6205

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 Krystal Roth's NPI number?

The NPI number for Krystal Roth is 1962281295. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Krystal Roth located?

Krystal Roth practices at 1815 E 15th St, Tulsa, OK 74104. The listed phone number is (918) 809-6205.

What is Krystal Roth's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

When was this NPI record last updated?

The NPPES record for Krystal Roth was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.