ANNEMARIE ROUSSEAU (NPI# 1477075315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477075315 |
| Entity Type | Individual |
| Full Name | ANNEMARIE ROUSSEAU |
| Credential | RN |
| Practice Address |
250 West 300 North Roosevelt UT 84066 |
| Mailing Address |
250 W 300 N Roosevelt UT 84066-2336 |
| Practice Telephone | (435) 722-6130 |
| Practice Fax Number | 4357252033 |
| Mailing Telephone | 4357226130 |
| Mailing Fax Number | 4357252033 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
9087991-3102 | UT | Nursing Service Providers |
| Street Address |
250 WEST 300 NORTH |
| City | ROOSEVELT |
| State | UT |
| Zip Code | 84066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780036772 | Drew Gilley | Dentist | 375 E Lagoon St, Roosevelt, Ut 84066, Roosevelt, UT 84066 | 2016-07-01 |
| 1952758039 | Amanda Adams | Massage Therapist | 1151 East Hwy 40, Ballard, UT 84066 | 2016-05-19 |
| 1447624325 | Gregory George Page | Dentist | 209 West 200 North 71-2, Roosevelt, UT 84066 | 2015-11-16 |
| 1659785772 | Becky Ann Birch | Nurse Practitioner | 200 West 350 North, Ste 103, Roosevelt, UT 84066 | 2014-06-17 |
| 1760724280 | Novo Ranch LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3549 W 1000 North, Roosevelt, UT 84066 | 2013-03-22 |
| 1508110040 | Uintah Basin Spine and Disc Center, PC | Rehabilitation Unit | 1151 East Highway 40, Roosevelt, UT 84066 | 2012-11-06 |
| 1184918682 | Alvaro Beltran | Dentist | Ave. Lopez Mateos 171-4, Nogales, SONORA 84066 | 2011-06-02 |
| 1255638367 | Cosme Cantu | Dentist | Blvd. El Greco #45 Int. J-14, Nogales, SONORA 84066 | 2011-02-25 |
| 1740482009 | Northeastern Utah Medical Group | Durable Medical Equipment & Medical Supplies | 210 W 300 N 75 3, Roosevelt, UT 84066 | 2007-05-31 |
| 1851436471 | Dan Ray Robinson | Dentist | 675 South Rodeo Drive, Roosevelt, UT 84066 | 2007-02-21 |
| Find all providers in zip 84066 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578030037 | Vail Shanae Batty | Registered Nurse | 210 W 300 N, Roosevelt, UT 84066-2336 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235750597 | Emma Carol Calvert Elison | Registered Nurse | 395 W Cougar Blvd, Provo, UT 84604-3311 | 2020-04-28 |
| 1366063638 | Harmony Jean Rosenberg | Registered Nurse | 110 W 1325 N Ste 100, Cedar City, UT 84721-8101 | 2020-04-28 |
| 1285255547 | Megan Maddox | Registered Nurse | 395 W Cougar Blvd Ste 401, Provo, UT 84604-3338 | 2020-04-28 |
| 1780936351 | Kaylynn Buxton | Registered Nurse | 615 Arapeen Dr. Suite 100, Salt Lake City, UT 84108 | 2012-10-08 |
| 1194967059 | Janmarie Peterson | Registered Nurse | George E Wahlen Va Slc Healthcare System, 500 Foothill Blvd., Salt Lake City, UT 84148-0001 | 2009-03-24 |
| 1114985553 | Clarene Townsend Hansen | Registered Nurse | 1055 N 500 W Ste 212, Provo, UT 84604 | 2006-05-03 |
| 1144216292 | Holly A Gore | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2005-09-23 |
| 1245842962 | Eve O'pray-nichols | Registered Nurse | 6932 E 1400 S, Ft. Duchesne, UT 84026 | 2020-08-24 |
| 1821610593 | Harmony A Hatch | Registered Nurse | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2020-05-15 |
| 1336760537 | Amelia Pinegar | Registered Nurse | 395 W Cougar Blvd Ste 401, Provo, UT 84604-3338 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
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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.