MRS. CHRISTINE HAYNES ROBERTS (NPI# 1154722569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154722569 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTINE HAYNES ROBERTS |
| Credential | BSN, RN, MSN, NP-C |
| Practice Address |
2500 North State Street Jackson MS 39216-4500 |
| Mailing Address |
2500 North State Street Jmm Room 2525 Jackson MS 39216-4500 |
| Practice Telephone | 6019846270 |
| Practice Fax Number | 6018151828 |
| Mailing Telephone | 6019846270 |
| Mailing Fax Number | 6018151828 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2016-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
R885733 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01377321 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285118307 | Christine Amelia Roberts | Day Training, Developmentally Disabled Services | 717 Dogwood St, Lowell, NC 28098-1608 | 2018-09-25 |
| 1982184289 | Christine Roberts | Physical Medicine & Rehabilitation | 306 E Scenic Valley Ave, Indianola, IA 50125-4865 | 2018-08-16 |
| 1902058761 | Christine Ann Roberts | Midwife | W6436 E Oak St, Dalton, WI 53926-9353 | 2008-10-10 |
| 1790947919 | Christine Roberts | Social Worker | 4045 E. Ogden Avenue, Las Vegas, NV 89110-5359 | 2008-06-29 |
| 1316061708 | Christine Marie Roberts | Occupational Therapist | Carbondale Nursing Home, 10 Hart Place, Carbondale, PA 18407 | 2007-03-19 |
| 1164997482 | Christine A Roberts | Speech-Language Pathologist | 1481 Senseny Rd, Winchester, VA 22602-6421 | 2018-10-13 |
| 1013414838 | Christine Marie Roberts | Student in an Organized Health Care Education/Training Program | 3002 Armstrong St, San Diego, CA 92111-5702 | 2018-04-09 |
| 1821596206 | Christine Roberts | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-01-31 |
| 1215388590 | Christine M Roberts | Nurse Practitioner | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2016-06-28 |
| 1295104131 | Christine Roberts | Nurse Practitioner | 541 High Street, Westwood, MA 02090 | 2015-09-22 |
| Street Address |
2500 NORTH STATE STREET |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549816 | John Joseph Sheehan Jr. | Internal Medicine | 2500 North State Street, Department of Medicine Division of Digestive Disease, Jackson, MS 39216-4500 | 2005-06-21 |
| 1912520370 | Janna Leigh Williams | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Dept of Emergency Medicine, Jackson, MS 39216 | 2020-05-20 |
| 1609498401 | Chin-qune Oliver Yeung Lai Wah | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Jackson, MS 39216 | 2020-05-14 |
| 1689293250 | Karine Desouza | Family Medicine | 2500 North State Street, Attn: Department of Family Medicine, Jackson, MS 39216 | 2020-04-13 |
| 1225667249 | Mallory Browning | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Jackson, MS 39216-4505 | 2020-04-02 |
| 1912490400 | Alberto Andres Arteaga | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Ummc, Department of Otolaryngology - 5 East, Jackson, MS 39216 | 2018-06-11 |
| 1003309493 | Britton Postlethwaite Beatrous | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Ummc Ent Department - 5east, Jackson, MS 39216 | 2018-06-11 |
| 1750874145 | Joseph Alexander De Gruy | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Ummc Ent Department - 5east, Jackson, MS 39216 | 2018-06-11 |
| 1689161523 | Joshua Phillip Rouhan | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Department of Emergency Medicine, Jackson, MS 39216-4505 | 2018-04-17 |
| 1336660356 | Iram Aman | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Jackson, MS 39216 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316326523 | Leslie Diane Jarrett | Clinical Nurse Specialist | 2978 Highway 36 W, Jackson, GA 30233-6150 | 2015-05-20 |
| 1134523111 | Carli Crapps | Clinical Nurse Specialist | 2500 North State Street, Jackson, MS 39216 | 2014-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689067324 | Kimaka Bowens | Clinical Nurse Specialist | 14 Maroon Dr, Picayune, MS 39466-8049 | 2015-03-05 |
| 1386949501 | Health Care Plus | Clinical Nurse Specialist | 305 N 2nd St, Booneville, MS 38829-2029 | 2011-01-19 |
| 1285815548 | Sandra J Bonom | Clinical Nurse Specialist | 126 Pine Ridge Cir, Brandon, MS 39047-7514 | 2007-11-15 |
| 1477706323 | Heather Gilmer | Clinical Nurse Specialist | 566 E Main St, Louisville, MS 39339-2742 | 2008-10-23 |
| 1770761728 | Mary Kelley Inc | Clinical Nurse Specialist | 1901 Mission 66, Vicksburg, MS 39180 | 2008-02-01 |
Please comment or provide details below to improve the information on MRS. CHRISTINE HAYNES 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.