Brenda Sue Roth
Licensed Practical Nurse • Fulton, NY
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, Brenda Roth has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Brenda Roth was a registered Licensed Practical Nurse practicing in Fulton, NY. Throughout an active medical career spanning 6 years, Brenda Roth provided care at the practice location at 277 S GRANBY RD until profile deactivation on 2020-01-03.
Practice Location & Contact Primary Location
277 S Granby Rd
Fulton, NY 130694342
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Fulton, NY
Practicing in Fulton, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 03, 2020
NPI status registered as active in NPPES database
Registered at 277 S GRANBY RD, FULTON, NY 130694342 (Tel: 3152974161)
Registered at 277 S GRANBY RD, FULTON, NY 130694342 (Tel: 3152974161)
Recorded as BRENDA ROTH
Licensed Practical Nurse (License #234686-1 in NY)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Brenda Roth
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
277 S Granby Rd
Fulton, NY 130694342
Phone: 3152974161
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.