MS. MARY ROBERTS (NPI# 1225424732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225424732 |
| Entity Type | Individual |
| Full Name | MS. MARY ROBERTS |
| Other Name | MARY KATHLEEN MACON |
| Practice Address |
2310 Hwy 94 S Outer Rd Saint Charles MO 63303-8301 |
| Practice Telephone | 6365524275 |
| Practice Fax Number | 8883862172 |
| Mailing Telephone | 6365524275 |
| Mailing Fax Number | 8883862172 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750856365 | Mary Morgan Roberts | Counselor | 2104 Rocky Ridge Rd, Vestavia Hills, AL 35216-5138 | 2018-10-10 |
| 1154809127 | Mary Katherine Roberts | Registered Nurse | 10408 Jackson Oaks Way, Knoxville, TN 37922-3293 | 2018-08-01 |
| 1245779479 | Mary Elizabeth Roberts | Dentist | 8 Laurel Hill Dr, Randolph, NJ 07869-4627 | 2017-02-21 |
| 1942627468 | Mary Heather Roberts | Occupational Therapist | 13033 Se Holgate Blvd, Portland, OR 97236-3913 | 2014-03-21 |
| 1417373960 | Mary Roberts | Counselor | 1659 Layton Rd, Freeland, WA 98249 | 2014-03-07 |
| 1801149299 | Mary Danielson Roberts | Marriage & Family Therapist | 3150 Pio Pico Dr Ste 105, Carlsbad, CA 92008-1951 | 2012-10-22 |
| 1295085751 | Mary Geralyn Roberts | Registered Nurse | 7239 N River Rd, West Bend, WI 53090-1216 | 2012-09-12 |
| 1609150598 | Mary Jacqueline Roberts | Nurse Practitioner | 1331 Christy Ave, #1, Louisville, KY 40204-2038 | 2011-10-10 |
| 1972736114 | Mary Roberts | Social Worker | 119 Hendersonville Rd., Asheville, NC 28803 | 2009-09-03 |
| 1386808848 | Mary Ellen Roberts | Social Worker | 1612 Nw 184th St, Edmond, OK 73012-0607 | 2008-07-14 |
| Street Address |
2310 HWY 94 S OUTER RD |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63303-8301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285069815 | Elizabeth Diebold | Massage Therapist | 1177 S Duchesne Dr, Saint Charles, MO 63301-4837 | 2013-09-13 |
| 1366720799 | Ralph Clark | Massage Therapist | 7300 Fox Chase Dr, Saint Charles, MO 63301-8360 | 2011-08-02 |
| 1235423146 | Jennifer Stanley | Massage Therapist | 210 S 5th St Ste 202, Saint Charles, IL 60174-2700 | 2011-06-08 |
| 1457888117 | Marlon Williams | Massage Therapist | 1362 S 5th St, Saint Charles, MO 63301-2444 | 2017-05-12 |
| 1730453754 | Karen Crowe Payne | Massage Therapist | 2261 Bluestone Dr, Saint Charles, MO 63303-6705 | 2012-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982211 | Evan Coonrod | Massage Therapist | 239 Steamboat Ln, Ballwin, MO 63011-3203 | 2020-11-02 |
| 1215537915 | Joseph Terry | Massage Therapist | 391 Chalmette Dr, Hazelwood, MO 63042-3532 | 2020-10-30 |
| 1043819642 | Ashley Chanele Ball | Massage Therapist | 959 W 42nd St Apt 201, Kansas City, MO 64111-4058 | 2020-10-23 |
| 1619576303 | Robert Wayne Fuller Jr. | Massage Therapist | 7211 Nw 83rd St Ste 207d, Kansas City, MO 64152-6022 | 2020-10-22 |
| 1346848991 | James Allen Brooks | Massage Therapist | 6436 Chippewa St, Saint Louis, MO 63109-2106 | 2020-10-15 |
| 1265030845 | Rhonda Kay Newton | Massage Therapist | 22768 Mo-39 Suite B, Aurora, MO 65605 | 2020-10-15 |
| 1841898798 | Justin Eric Mcmiller | Massage Therapist | 1255 Swallow Ln, Florissant, MO 63031-3326 | 2020-10-13 |
| 1982201471 | Kendra Wright | Massage Therapist | 115 W 99th Ter Apt 206, Kansas City, MO 64114-4330 | 2020-10-07 |
| 1447857651 | Sara E Sobery | Massage Therapist | 5 Carpenter Dr, Saint Peters, MO 63376-1925 | 2020-10-01 |
| 1801403167 | Kevin Phillip Cude | Massage Therapist | 35 Oxbow Rd, Saint Peters, MO 63376-1556 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CHARLES |
| Zip Code | 63303 |
Please comment or provide details below to improve the information on MS. MARY 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.