MICHELLE RENEE ROBERTS (NPI# 1548828353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548828353 |
| Entity Type | Individual |
| Full Name | MICHELLE RENEE ROBERTS |
| Credential | FNP-BC |
| Practice Address |
233 Oil Well Rd Ste E Jackson TN 38305-8014 |
| Mailing Address |
2208 Oakview Ave Dyersburg TN 38024-1667 |
| Practice Telephone | 7316608467 |
| Mailing Telephone | 5733804680 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F04190520 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950616 | Michelle Roberts | Physician Assistant | 2317 Via Cascabel, Escondido, CA 92027-4821 | 2020-04-06 |
| 1205488590 | Michelle E Roberts | Physical Medicine & Rehabilitation | 225 S Sangamon St Ste 1, Chicago, IL 60607-5167 | 2019-07-16 |
| 1730666777 | Michelle Embree Roberts | Massage Therapist | 679 E Harbor Dr # 140, Warrenton, OR 97146-9717 | 2018-07-23 |
| 1962927566 | Michelle Roberts | Physical Therapist | 244 Olmsted Blvd Ste B, Pinehurst, NC 28374-6003 | 2017-08-04 |
| 1790142420 | Michelle Roberts | Rehabilitation Practitioner | 1115 Badger Circle, Ventura, CA 93003 | 2016-01-26 |
| 1861894099 | Michelle Perez Roberts | Speech-Language Pathologist | 3238 Bent Oak Rd, Pensacola, FL 32526-2843 | 2014-09-18 |
| 1669718730 | Michelle Roberts | Counselor | 4431 N Emerson Ave, Fresno, CA 93705-1204 | 2012-12-18 |
| 1386933851 | Michelle Diane Roberts | Home Health | 3012 Isabella St, Midland, MI 48640-6423 | 2011-04-05 |
| 1689888026 | Michelle Renee' Roberts | Licensed Practical Nurse | 725 Millikin St, Hamilton, OH 45013-3448 | 2007-05-09 |
| 1073562336 | Michelle L Roberts | Pediatrics | 1872 N. Lake Forest Dr., Mckinney, TX 75071 | 2006-05-06 |
| Street Address |
233 OIL WELL RD STE E |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-8014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407951684 | Professional Health Services of Jackson | Social Worker | 233 Oil Well Rd Ste E, Jackson, TN 38305-8014 | 2006-09-13 |
| 1760581433 | Donna D Cole | Social Worker | 233 Oil Well Rd Ste E, Jackson, TN 38305-8014 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113627 | Jessicah Blasdel | Nurse Practitioner | 113 W Michigan Ave, Jackson, MI 49201-1340 | 2020-10-31 |
| 1801406335 | Jade Russell | Nurse Practitioner | 2205 W Morrell St, Jackson, MI 49203-1357 | 2020-08-10 |
| 1992315212 | Patrecia Campbell | Nurse Practitioner | 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 | 2020-08-01 |
| 1669008926 | Kristine Edwards | Nurse Practitioner | 723 Woodlawn Ave, Jackson, MI 49203-2921 | 2020-03-19 |
| 1295366391 | Christy White | Nurse Practitioner | 363 Old Pinson Rd, Jackson, TN 38301-9576 | 2020-01-28 |
| 1972141620 | Primary Care - Bemis, LLC | Nurse Practitioner | 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 | 2019-12-12 |
| 1174164263 | Tami Anne Miller | Nurse Practitioner | 124 N Bast St, Jackson, MO 63755-1704 | 2019-10-01 |
| 1265080584 | Cameron Nicole Howard | Nurse Practitioner | 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 | 2019-08-29 |
| 1831750843 | Rhiannon Michelle Andresen | Nurse Practitioner | 1022 Greystone Sq, Jackson, TN 38305-3580 | 2019-06-21 |
| 1902376361 | Jenay B Krumm | Nurse Practitioner | 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 | 2018-11-28 |
| Find all providers in JACKSON | ||||
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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.