MR. JEFFREY ROBERTS (NPI# 1497162986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497162986 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY ROBERTS |
| Other Name | MR. JEFFREY DONALD ROBERTS |
| Credential | LPN,WCN |
| Practice Address |
620 S Elder St Nampa ID 83686-5212 |
| Practice Telephone | 2084657659 |
| Mailing Telephone | 2084657659 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN-15716 | ID | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295022549 | Jeffrey Roberts | Dentist | 9323 Garland Rd Ste 105, Dallas, TX 75218-3675 | 2011-07-07 |
| 1962575399 | Jeffrey T. Roberts | Chiropractor | 471 Old Street Rd, Peterborough, NH 03458-1264 | 2006-11-15 |
| 1629140652 | Jeffrey Clay Roberts | Pharmacist | 10639 Alabama Highway 168, Boaz, AL 35957 | 2006-11-14 |
| 1598702136 | Jeffrey James Roberts | Specialist/Technologist | San Jose State University, Department of Kinesiology, San Jose, CA 95192-0001 | 2006-06-01 |
| 1477548378 | Jeffrey S Roberts | Radiology | 1 Hospital Drive Suite 102, Asheville, NC 28801-4565 | 2005-09-16 |
| 1386647071 | Jeffrey Alan Roberts | Chiropractor | 496 W Main St, Lebanon, KY 40033-1362 | 2005-05-27 |
| 1487214417 | Jeffrey Alexander Roberts | Surgery | 736 Cambridge St, Brighton, MA 02135-2907 | 2019-06-20 |
| 1366976896 | Jeffrey Roberts | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2017-04-11 |
| 1134409311 | Jeffrey A Roberts | Counselor | 118 Central St, Waltham, MA 02453-5465 | 2011-08-19 |
| 1538394705 | Jeffrey B Roberts | Counselor | 601 S Edwin C Moses Blvd, Fourth Floor Nw Building, Dayton, OH 45408-1424 | 2009-05-18 |
| Street Address |
620 S ELDER ST |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770995219 | Divinity Healthcare Services Pllc | Preferred Provider Organization | 620 S Elder St, Nampa, ID 83686-5212 | 2014-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841671716 | Victoria Hamrick | Licensed Practical Nurse | 64 N Elijah Dr, Nampa, ID 83651-2209 | 2015-06-16 |
| 1952700478 | Tiana Hernandez | Licensed Practical Nurse | 86 S Rolling Green St, Nampa, ID 83687-8921 | 2014-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267266 | Mary Laree Kenworthy | Licensed Practical Nurse | 500 W Fort St Bldg 88, Boise, ID 83702-4598 | 2020-08-31 |
| 1457974669 | Marcey Louise Waugh | Licensed Practical Nurse | 500 W Fort St Bldg 124, Boise, ID 83702-4501 | 2020-05-21 |
| 1740801364 | Xochitl Hodgson | Licensed Practical Nurse | 28 Creekside Ln, Hope, ID 83836-9641 | 2020-05-05 |
| 1841712049 | Caitlinn Kuuipo Tanaka | Licensed Practical Nurse | 4835 Trent St, Chubbuck, ID 83202-2955 | 2017-07-10 |
| 1992154538 | Carolyn Blasch | Licensed Practical Nurse | 3912 Sage Creek Dr, Boise, ID 83714-5502 | 2016-06-05 |
| 1679951545 | Steven Miranda | Licensed Practical Nurse | 1471 Mountain View Ln Apt 4, Idaho Falls, ID 83402-1861 | 2015-05-12 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| 1326464991 | Michael Deschene Jr. | Licensed Practical Nurse | 641 E Wild Lilac St, Kuna, ID 83634-2388 | 2014-03-06 |
| 1306288907 | Meghan Louise Dunnam | Licensed Practical Nurse | 677 N Cove Colony Way, Eagle, ID 83616-4675 | 2013-07-23 |
| 1255621637 | Patricia Jensen | Licensed Practical Nurse | 845 E Fairview Ave Ste 120, Meridian, ID 83642-8048 | 2011-04-19 |
| 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.