JOANNA LYN ROBERTS (NPI# 1164559506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164559506 |
| Entity Type | Individual |
| Full Name | JOANNA LYN ROBERTS |
| Credential | PA, PTA |
| Practice Address |
411 Grand Ave Oakland CA 94610-5022 |
| Practice Telephone | 5108444097 |
| Mailing Telephone | 5108444097 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 52879 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 904080 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434844 | Joanna Lee Roberts | Physician Assistant | 4268 Bluff City Hwy, Bluff City, TN 37618-2710 | 2020-07-20 |
| 1801451109 | Joanna Marie Roberts | Speech-Language Pathologist | 13325 Hargrave Rd, Houston, TX 77070-4539 | 2019-05-02 |
| 1891286357 | Joanna Maria Roberts | Counselor | 3190 Radio Rd, Gainesville, FL 32611-2519 | 2018-05-21 |
| 1023376977 | Joanna Lyn Roberts | Counselor | 931 Azure Heights Pl, Las Vegas, NV 89110-2890 | 2012-04-29 |
| 1568532059 | Joanna Roberts | Nurse Anesthetist, Certified Registered | 3643 N Roxboro St, Durham, NC 27704-2702 | 2006-11-09 |
| Street Address |
411 GRAND AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94610-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301059 | Anne Chan | Physician Assistant | 411 Grand Ave, Oakland, CA 94610-5022 | 2020-06-23 |
| 1164068268 | Esther Yoon Nickelson | Registered Nurse | 411 Grand Ave, Oakland, CA 94610-5022 | 2019-11-23 |
| 1720547110 | Wing San Wu | Nurse Practitioner | 411 Grand Ave, Oakland, CA 94610-5022 | 2019-03-15 |
| 1992248207 | Paul Alexander Gonzales | Physician Assistant | 411 Grand Ave, Oakland, CA 94610-5022 | 2016-11-18 |
| 1972045144 | Direct Urgent Care Inc | Pediatrics | 411 Grand Ave, Oakland, CA 94610-5022 | 2016-11-04 |
| 1427302116 | Tobey Laura Allen | Marriage & Family Therapist | 411 Grand Ave, Oakland, CA 94610-5022 | 2012-11-01 |
| 1639472814 | Melinda Wiggins | Acupuncturist | 411 Grand Ave, Oakland, CA 94610-5022 | 2010-12-10 |
| 1477789469 | William Ribeiro | Family Medicine | 411 Grand Ave, Oakland, CA 94610-5022 | 2009-06-03 |
| 1184806564 | Muriel Mayes | Physical Therapist | 411 Grand Ave, Oakland, CA 94610 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467944033 | Danielle Elissa Comerford | Marriage & Family Therapist | 370 Grand Ave Ste 4, Oakland, CA 94610 | 2018-05-30 |
| 1073042628 | Thien Lake Acupuncture | Clinic/Center | 3654 Grand Aveune, Oakland, CA 94610 | 2017-06-07 |
| 1508239302 | Montserrat Corsino | Acupuncturist | 493 Prince St, Oakland, CA 94610 | 2015-11-03 |
| 1376978593 | Mazen Abudllah Basidiq | Registered Nurse | 271 Jayne Ave. Suite # 11, Oakland, CA 94610 | 2013-09-06 |
| 1740523026 | Katiah Llerena | Psychologist | 414 Lake Park Ave, #595, Oakland, CA 94610 | 2013-04-04 |
| 1033459409 | Shelly Lynn Henderson-hansen | Speech-Language Pathologist | 3756 Grand Ave, Suite 401, Oakland, CA 94610 | 2013-02-22 |
| 1013267806 | Sara-jean Lizabeth Bartky | Speech-Language Pathologist | 55 Santa Clara Ave #203, Oakland, CA 94610 | 2012-09-19 |
| 1053667139 | Juanita Lerma Hernandez-morin | Counselor | 1375 55th Street, Emeryville, CA 94610 | 2012-07-26 |
| 1396030672 | Catherine Maness | Marriage & Family Therapist | 123 Bay Place, Ste 6, Oakland, CA 94610 | 2011-06-14 |
| 1871807529 | Jaime Beth Levy | Marriage & Family Therapist | 1001 Warfield Ave Apt 103, Oakland, CA 94610 | 2010-08-04 |
| Find all providers in zip 94610 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1245855527 | Susan Solar Pers | Physician Assistant | 5818 Clover Dr, Oakland, CA 94618-1623 | 2020-06-11 |
| 1790322253 | Reta Samimi | Physician Assistant | 47 Anair Way, Oakland, CA 94605-4873 | 2019-12-04 |
| 1316408453 | Henry Chhiv | Physician Assistant | 928 Franklin St Apt 535, Oakland, CA 94607-4207 | 2019-03-29 |
| 1427523893 | Sarah Jean Backer | Physician Assistant | 1 Lakeside Dr Apt 701, Oakland, CA 94612-4647 | 2018-10-11 |
| 1558845891 | Abigail Romero | Physician Assistant | 47 Agnes St, Oakland, CA 94618-2522 | 2018-09-22 |
| 1932604428 | Meegan Ann Mccullagh | Physician Assistant | 9 Pleasant St., Oakland, ME 04963 | 2018-03-27 |
| 1164937884 | Erin Shea Hays | Physician Assistant | 1411 E 31st St # K7, Oakland, CA 94602-1018 | 2017-12-04 |
| 1407369689 | Kristinalisa Maka | Physician Assistant | 363 41st St, Oakland, CA 94609-2632 | 2017-11-10 |
| Find all providers in OAKLAND | ||||
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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.