PHYLLIS ROBERTS (NPI# 1699196659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699196659 |
| Entity Type | Individual |
| Full Name | PHYLLIS ROBERTS |
| Credential | R. N. |
| Practice Address |
4501 W Picacho Ave Las Cruces NM 88007-4823 |
| Practice Telephone | 5755279606 |
| Practice Fax Number | 5755279612 |
| Mailing Telephone | 5755275884 |
| Mailing Fax Number | 5755275886 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
R18834 | NM | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841356474 | Phyllis Roberts | Respite Care | 1330 E Saint Anne Ave, Phoenix, AZ 85042-4437 | 2006-12-28 |
| 1477640100 | Phyllis G. Roberts | Pediatrics | 2750 Clay Edwards Dr Ste 320, North Kansas City, MO 64116-3259 | 2006-10-06 |
| Street Address |
4501 W PICACHO AVE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88007-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518479336 | Chantelle Trista Yazzie | Social Worker | 4501 W Picacho Ave, Las Cruces, NM 88007-4823 | 2017-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952814196 | Debra G Hanus | Registered Nurse | 12325 Fort Mcrae Rd., Las Cruces, NM 88007 | 2017-11-09 |
| 1730698309 | Equine Assisted Programs of Southern New Mexico LLC | Clinic/Center | 190 Providence Road, Las Cruces, NM 88007 | 2017-09-26 |
| 1952841926 | Kimberly Danielle Diaz | Marriage & Family Therapist | 471 Alvillar Rd, Las Cruces, NM 88007 | 2017-02-24 |
| 1326420951 | Juan Mendoza | Psychologist | 715 E. Idaho, Las Cruces, NM 88007 | 2015-06-19 |
| 1801206974 | Sonnie Michelle Sanchez | Case Manager/Care Coordinator | 2211 N. Valley Dr., Las Cruces, NM 88007 | 2014-04-29 |
| 1932528171 | Carrie A Jones | Case Manager/Care Coordinator | 2211 N. Valley, Las Cruces, NM 88007 | 2014-04-15 |
| 1881015402 | Tony Trevino | Case Manager/Care Coordinator | 660 Copa Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1982025508 | Gilbert L Barela | Case Manager/Care Coordinator | 440 Helens Place, Las Cruces, NM 88007 | 2013-12-27 |
| 1497176010 | Heather Barela | Case Manager/Care Coordinator | 305 Windchime Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1962833194 | Sylvia Trevino | Case Manager/Care Coordinator | 660 Copa Ln., Las Cruces, NM 88007 | 2013-12-13 |
| Find all providers in zip 88007 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1649627803 | Nicole Lucero | Registered Nurse | 3400 Elks Dr, Las Cruces, NM 88005-1120 | 2016-05-18 |
| 1134542186 | Dawn Loree Schallock | Registered Nurse | 4675 Peachtree Hills Rd., Las Cruces, NM 88012 | 2014-01-28 |
| 1396166070 | Joyce Anglin | Registered Nurse | 505 S.main. Ste 249, Las Cruces, NM 88001 | 2013-12-23 |
| 1962823914 | Brandi Gorzeman | Registered Nurse | 505 S. Main, Las Cruces, NM 88001 | 2013-12-18 |
| 1366863300 | Teofilo Aguilar Carrasco Iv | Registered Nurse | 226 Carver Rd, Las Cruces, NM 88005-3544 | 2013-12-18 |
| 1255752200 | Melody Stryker | Registered Nurse | 5300 Holman Rd, Las Cruces, NM 88012-7004 | 2013-12-18 |
| 1659792653 | Kristine Kay Hanson | Registered Nurse | 1700 Spruce Ave, Las Cruces, NM 88001-2445 | 2013-12-18 |
| 1619398617 | Leah Wallis | Registered Nurse | 4201 Northrise Dr., Las Cruces, NM 88011 | 2013-12-18 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88007 |
Please comment or provide details below to improve the information on PHYLLIS 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.