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

Gail Deanne Roth, ARNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1003332313

Gail Deanne Roth, ARNP-C is a Nurse Practitioner in Tampa, Florida. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017

Practice location Address checks out

4604 Brownwood Ct
Tampa, FL 33624-1118
Phone: (813) 679-4101
Show map & directions

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

Additional practice locations (1)

  • 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637-0904 — (813) 871-8111

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence ARNP9233626 (FL)

Record details

NPI number1003332313
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP-C
Sole proprietorNo
NPI enumeratedAugust 17, 2017
Last updated in NPPESJuly 21, 2022
Certification dateFebruary 5, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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