Individual
DR. NICOLE MEGAN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1400 28TH ST STE 2, BOULDER, CO 80303-1096
(303) 449-2000
(303) 449-9475
Mailing address
PO BOX 21150, BOULDER, CO 80308-4150
(303) 546-9158
(303) 546-9107
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD.0000829
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000168464
—
CO
01
—
PO 3661
PODIATRIC MEDICAL LICENSE
FL
01
—
POD.0000829
LICENSE
CO
01
—
PR235
PODIATRIC RESIDENT
FL
Enumeration date
06/21/2011
Last updated
01/14/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us