Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN MARIE ROTH, MS, RD, LD
ActiveJACLYN MARIE ROTH, MS, RD, LD is a Registered Dietitian healthcare provider located in NORTH KANSAS CITY, Missouri. NPI 1891045076 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · NORTH KANSAS CITY, MO
Registration Details
- NPI Number
- 1891045076
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2012 (13.907611792048 yrs)
- Last Updated
- Mar 10, 2021
- Licenses
-
1048325 (MO)2011016811 (MO)
Practice Information
- Address
-
2790 CLAY EDWARDS DR STE 600NORTH KANSAS CITY, MO, 641163274Browse MO providers · Browse ZIP 64116
- Phone
- 8166915048
- Fax
- 8163467039
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Registered Dietitian
Other Registered Dietitian Providers in NORTH KANSAS CITY, MO
| Name | Credential | NPI |
|---|---|---|
| MELISSA ANN WHITE | MS, RD, CDE | 1669641650 |
| JULI HOGAN | RD, LD | 1780983643 |
| MRS. LAUREN KRISTEN BONAFIDE | R.D., L.D. | 1922307685 |
| AMY WILSON | R.D. | 1902105539 |
| MRS. BARBARA ANN CLOHECY | R.D., L.D. | 1558660878 |
| MRS. MIRIAM ROSE FARBER | RD | 1558660860 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.