Carley Michele Roth

Nurse Practitioner · Fenton, MO

Individual Active NPI

NPI number 1639034424

Practice location

1055 Bowles Ave Ste 200
Fenton, MO 63026-2308
Phone
(636) 496-3900

Open in Google Maps

NPI record

NPI
1639034424
Entity type
Individual (Type 1)
Enumeration date
December 23, 2025
Last updated
April 21, 2026
Certified
April 21, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 2026003319 MO
Family Nurse Practitioner 363LF0000X 2026003319 MO

Mailing address

PO Box 955534
Saint Louis, MO 63195-5534

About Carley Roth

Carley Michele Roth is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1055 Bowles Ave Ste 200, Fenton, MO 63026-2308. The NPI number 1639034424 was assigned on December 23, 2025 and the record was last updated on April 21, 2026.

Carley Roth lists 2 licenses in the registry: #2026003319 (MO) for Nurse Practitioner; #2026003319 (MO) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carley Michele Roth?

The NPI number is 1639034424.

What is the phone number of Carley Roth?

The phone number listed for the practice location is (636) 496-3900.

Where is Carley Roth located?

1055 Bowles Ave Ste 200, Fenton, MO 63026-2308.

What is the taxonomy code for Carley Roth?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Nurse Practitioner providers in Fenton

All Nurse Practitioner providers in Fenton, MO →