Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diana Lynette Roth

Individual provider Family Nurse Practitioner · NPI 1841736857

Diana Lynette Roth is a Nurse Practitioner in Pittsfield, Illinois. Qualified in 2015, 11 years ago. Practices with Blessingcare Corporation, a 13-clinician group. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2017

Practice location Address checks out

640 W Washington St
Pittsfield, IL 62363-1350
Phone: (217) 285-2113
Fax: (217) 285-2989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209015451 (IL)

Record details

NPI number1841736857
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2017
Last updated in NPPESJanuary 13, 2017
Mailing address103 Leland Lake Dr, Jacksonville, IL 62650-2690

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Blessingcare Corporation — 13 clinicians
Accepts Medicare assignment Not indicated

Other providers in Pittsfield