MELISSA ROBERTS (NPI# 1053858563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053858563 |
| Entity Type | Individual |
| Full Name | MELISSA ROBERTS |
| Credential | APRN |
| Practice Address |
2191 9th Ave N St Petersburg FL 33713-7146 |
| Mailing Address |
10053 Victory Gallop Loop Ruskin FL 33573-6744 |
| Practice Telephone | 7278207778 |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
9324598 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
9324598 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
9324598 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 333131503 | 9547356000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649799727 | Melissa Ann Roberts | Dietitian, Registered | 12520 Prosperity Dr Ste 320, Silver Spring, MD 20904-1664 | 2017-09-11 |
| 1831431600 | Melissa Roberts | Home Health Aide | Fedral Route 19 Mile Post 18, Topawa, AZ 85639-0164 | 2013-03-20 |
| 1730326414 | Melissa Roberts | Counselor | 124 Cameron Rd, Willow Grove, PA 19090-2404 | 2009-01-16 |
| 1518938398 | Melissa Joy Roberts | Nurse Practitioner | 9709 N Virginia Ave, Kansas City, MO 64155-2199 | 2006-01-30 |
| 1710512322 | Melissa A Roberts | Physical Therapist | 3901 University Blvd S, Jacksonville, FL 32216-4312 | 2020-03-04 |
| 1336623800 | Melissa Marie Roberts | Physician Assistant | 801 5th St, Sioux City, IA 51101-1326 | 2018-09-20 |
| 1043797616 | Melissa Ann Roberts | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158-2911 | 2018-07-25 |
| 1255817102 | Melissa Roberts | Occupational Therapist | 1015 Tiverton Rd, Mechanicsburg, PA 17050-7699 | 2018-07-13 |
| 1275038390 | Melissa Roberts | Occupational Therapist | 2280 Tower Hill Rd, Houghton Lake, MI 48629-8961 | 2018-03-29 |
| 1134639743 | Melissa Roberts | Social Worker | 515 Dayton St, Hamilton, OH 45011-3455 | 2017-10-09 |
| Street Address |
2191 9TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-7146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974490 | Americare Physicians Group, LLC | Internal Medicine | 2191 9th Ave N, Suite 115, St Petersburg, FL 33713-7146 | 2005-07-07 |
| 1063045821 | Kelly Tyrrell Range | Nurse Practitioner | 2191 9th Ave N, St Petersburg, FL 33713-7146 | 2020-02-19 |
| 1508117391 | Janet A Loo | Nurse Practitioner | 2191 9th Ave N, Ste 110, St Petersburg, FL 33713-7146 | 2012-09-20 |
| 1699052118 | Ashley Morris Wicks | Physician Assistant | 2191 9th Ave N, Suite 200, St Petersburg, FL 33713-7146 | 2011-11-11 |
| 1811205990 | Ralph A. Dematteis Md Pl | Surgery | 2191 9th Ave N, Suite 240, St Petersburg, FL 33713-7146 | 2010-09-22 |
| 1841451960 | Choice Hospital Consultants, Pa | Family Medicine | 2191 9th Ave N, Ste 105, St Petersburg, FL 33713-7146 | 2008-06-20 |
| 1235328998 | Christopher M Davey Md Pa | Family Medicine | 2191 9th Ave N, Suite 115, St Petersburg, FL 33713-7146 | 2007-10-18 |
| 1679761118 | Carol L Pappas Md Phd Pa | Psychiatry & Neurology | 2191 9th Ave N, #230, St Petersburg, FL 33713-7146 | 2007-10-10 |
| 1013102409 | Natalie Eudora Bastien | Nurse Practitioner | 2191 9th Ave N, Suite 110, St Petersburg, FL 33713-7146 | 2007-09-10 |
| 1790904480 | Barbara Lynn Joustra | Nurse Practitioner | 2191 9th Ave N, St Petersburg, FL 33713-7146 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780240721 | Brittany Michaela Gutschmidt | Nurse Practitioner | 1030 53rd Ave N, St Petersburg, FL 33703-2738 | 2019-05-15 |
| 1639726698 | Dana Marie Mlynarski | Nurse Practitioner | 3301 66th St N Ste A, St Petersburg, FL 33710-1547 | 2019-08-23 |
| 1508321969 | Rose Hanna Tyler | Nurse Practitioner | 3301 66th St N, St Petersburg, FL 33710-1547 | 2019-02-09 |
| 1487127379 | Jessica Tonkin | Nurse Practitioner | 12450 Roosevelt Blvd N, St Petersburg, FL 33716-1902 | 2019-01-03 |
| 1497262984 | Lavanya Gopal | Nurse Practitioner | 3520 38th Ave N, St Petersburg, FL 33713 | 2018-01-05 |
| 1851814495 | Premier Health and Care for You | Nurse Practitioner | 3622 Central Ave, St Petersburg, FL 33711-1345 | 2017-07-25 |
| 1700327129 | Susan Maurer | Nurse Practitioner | 6600 30th Ave N, St Petersburg, FL 33710-3102 | 2017-03-17 |
| 1205372844 | Kory Turnow | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2017-01-06 |
| 1588019913 | Natalie Brooks | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2016-05-04 |
| 1659730422 | Alesia D Odums | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2016-02-22 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
Please comment or provide details below to improve the information on MELISSA ROBERTS.
| 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.