JASON ROBERTS (NPI# 1003269895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003269895 |
| Entity Type | Individual |
| Full Name | JASON ROBERTS |
| Credential | FNP-BC |
| Practice Address |
199 Longview Dr Rockford MI 49341-1130 |
| Practice Telephone | 3139189340 |
| Mailing Telephone | 3139189340 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4704219864 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704219864 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271607 | Jason A Roberts | Counselor | 94-1345 Kulewa Loop # 18a, Waipahu, HI 96797-4373 | 2020-07-03 |
| 1114571130 | Jason William Roberts | Nurse Practitioner | 9427 Eastside Drive Ext Ste A, Newton, MS 39345-8063 | 2019-07-29 |
| 1710470109 | Jason Carlo Roberts | Physical Therapist | 261 Mack, Detroit, MI 48201 | 2018-06-11 |
| 1851763585 | Jason Evan Roberts | Marriage & Family Therapist | 105 Fidelity St. (a-51), Carrboro, NC 27510 | 2015-10-21 |
| 1528437662 | Jason Roberts | Contractor | 10814 Wilkins Rd, Rougemont, NC 27572 | 2015-09-18 |
| 1073882288 | Jason E Roberts | Physical Therapist | 987565 Nebraska Medical Ctr, Omaha, NE 68198-7565 | 2011-12-16 |
| 1386734630 | Jason Warrah Roberts | Chiropractor | 1508 Santa Fe Dr Ste 102, Weatherford, TX 76086-5859 | 2006-10-14 |
| 1811900343 | Jason L. Roberts | Specialist/Technologist | 600 Fontana Blvd # D, Havelock, NC 28532-3104 | 2006-08-14 |
| 1487630034 | Jason Trevor Roberts | Specialist/Technologist | 1000 Elysian Park Ave, Los Angeles, CA 90012-1112 | 2005-12-15 |
| 1578046801 | Jason G Roberts | Case Manager/Care Coordinator | 130 Southern School Rd, Somerset, KY 42501 | 2018-09-12 |
| Street Address |
199 LONGVIEW DR |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138481 | Kelly Ann Twigg | Nurse Practitioner | 5669 Shelley Rd, Rockford, OH 45882-9577 | 2020-09-14 |
| 1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
| 1124632922 | Catherine Nwosu | Nurse Practitioner | 3455 Holiday Dr Apt 10, Rockford, IL 61109-2489 | 2020-08-31 |
| 1790314631 | Toni A Hughart | Nurse Practitioner | 6000 E State St, Rockford, IL 61108-2521 | 2020-04-03 |
| 1578199220 | Keli S Griseta | Nurse Practitioner | 3505 N Bell School Rd, Rockford, IL 61114-6624 | 2020-03-13 |
| 1457986069 | Nicole P Falatic | Nurse Practitioner | 153 Glen Eagle Dr Ne, Rockford, MI 49341-1183 | 2020-03-04 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1487110540 | Karrie Hagger | Nurse Practitioner | 7476 Countryshire Ln, Rockford, IL 61107-2774 | 2019-02-13 |
| 1336652700 | Stacey Jo Caler | Nurse Practitioner | 363 Financial Ct Unit 300, Rockford, IL 61107-6671 | 2017-11-08 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.