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Deactivated NPI 1386065738 Deactivated / Inactive NPI Male Practitioner

Sam Roth

Registered Nurse • Albuquerque, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sam Roth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 01, 2014
NPI Deactivation Date May 24, 2023
Total Practice Duration ~9 Years of Practice (2014 – 2023)

Professional Overview & Biography Verified Profile Summary

Sam Roth was a registered Registered Nurse practicing in Albuquerque, NM. Throughout an active medical career spanning 9 years, Sam Roth provided care at the practice location at 1501 SAN PEDRO DR SE until profile deactivation on 2023-05-24.

Practice Location & Contact Primary Location

Practice Address

1501 San Pedro Dr Se

Albuquerque, NM 871085153

Telephone 5052651711
Associated Practice Facility / Clinic
🏢 Albuquerque Vamc Facility NPI 1396703336

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
302 Specialists

Practicing in Albuquerque, NM (1638 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License NM 73487

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003233024

Doctor of Pharmacy (Pharm.D.)

Dr. Kendra Saxvik , PharmD

Pharmacist - Psychiatric

NPI 1003233941

Doctor of Pharmacy (Pharm.D.)

Samantha Travierso

Physician Assistant

NPI 1003455437
Desirey Hankins , LMSW

Social Worker - Clinical

NPI 1003792417

Licensed Master Social Worker

Dr. Joseph Oser , MD

Internal Medicine - Geriatric Medicine

NPI 1003908377

Doctor of Medicine (M.D.)

NPI 1003980459

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 24, 2023

Record deactivated on May 24, 2023

NPI Profile Active January 01, 2014

NPI status registered as active in NPPES database

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Updated Practice Location January 01, 2014

Registered at 1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 871085153 (Tel: 5052651711)

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Updated Business Mailing Address January 01, 2014

Registered at 406 RICHMOND DR SE, ALBUQUERQUE, NM 871062242

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Provider Name / Credentials Updated January 01, 2014

Recorded as SAM ROTH

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2014

Registered Nurse (License #73487 in NM)

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Initial NPI Registration & Enumeration January 01, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386065738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 01, 2014
Last Update: January 01, 2014
Deactivation Date: May 24, 2023

Mailing Address

406 Richmond Dr Se

Albuquerque, NM 871062242

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.