JASON ROBERTS


Address: 199 Longview Dr, Rockford, MI 49341-1130
Phone: 3139189340

JASON ROBERTS (NPI# 1003269895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

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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

Office Location

Street Address 199 LONGVIEW DR
City ROCKFORD
State MI
Zip Code 49341-1130

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City ROCKFORD
Zip Code 49341

Improve Information

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Dataset Information

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.

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