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

Dr. Danielle Marie Roth

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1649976382

Dr. Danielle Marie Roth is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2023, 3 years ago. Practices with The Love Lab PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

34225 N 27th Dr Ste 146
Phoenix, AZ 85085-6090
Phone: (602) 832-7238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 298571 (AZ)

Record details

NPI number1649976382
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2023
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Love Lab Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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