KELLY ROBERTS (NPI# 1699382465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699382465 |
| Entity Type | Individual |
| Full Name | KELLY ROBERTS |
| Credential | PA-C |
| Practice Address |
4750 W Oakey Blvd Ste 3a Las Vegas NV 89102-1535 |
| Mailing Address |
Po Box 35380 Las Vegas NV 89133-5380 |
| Practice Telephone | 7028775199 |
| Mailing Telephone | 7028775199 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090534 | Kelly Roberts | Social Worker | 2520 Hampton Rd Ste 18, Erie, PA 16502-2073 | 2017-08-23 |
| 1568912129 | Kelly M Roberts | Nurse Practitioner | 555 W Pine Street, Farmington, MO 63640 | 2016-10-07 |
| 1912353160 | Kelly Roberts | Peer Specialist | 405 Ne Avondale Ave, Bartlesville, OK 74006-1702 | 2016-05-06 |
| 1861893075 | Kelly C. Roberts | Specialist/Technologist | 7676 Canberra Way, Riverside, CA 92508-6048 | 2014-09-07 |
| 1992024152 | Kelly Roberts | Psychologist | 5648 William Penn Hwy, Export, PA 15632 | 2010-05-26 |
| 1477706109 | Kelly S Roberts | Occupational Therapist | 25 Van Buren St, Albany, NY 12206-1222 | 2008-10-26 |
| 1508908617 | Kelly F Roberts | Social Worker | 704 North Hwy 64, Manteo, NC 27954 | 2007-02-13 |
| 1396768719 | Kelly M Roberts | Audiologist | 119 Se Wilson Ave, Bend, OR 97702-1714 | 2006-07-26 |
| 1609410133 | Kelly Elizabeth Roberts | Speech-Language Pathologist | 52 3rd Ave, Brentwood, NY 11717-4651 | 2019-10-28 |
| 1538611934 | Kelly Roberts | Nurse Practitioner | 3727 Friendsville Rd, Unit 200, Wooster, OH 44691-7131 | 2016-11-01 |
| Street Address |
4750 W OAKEY BLVD STE 3A |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434716 | Neil A Braunstein | Internal Medicine | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102 | 2005-08-15 |
| 1679932842 | Vanessa Medina Antolin | Nurse Practitioner | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2016-02-17 |
| 1720141120 | Javier Ismael Garduno | Anesthesiology | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2006-12-18 |
| 1922024165 | Hae Ran Rhim-kim | Internal Medicine | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102 | 2006-07-14 |
| 1265476691 | Barry Gould | Internal Medicine | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102 | 2006-06-15 |
| 1629017090 | Kathy J Rabago | Physician Assistant | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2006-06-04 |
| 1215910096 | Bryan C Werner | Physical Medicine & Rehabilitation | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2005-11-25 |
| 1396737235 | Shannon Signorino | Internal Medicine | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906440 | David Hernandez | Student in an Organized Health Care Education/Training Program | 1510 Grape Arbor Way, Las Vegas, NV 89142-0669 | 2020-09-10 |
| 1710591110 | Jessica Celestino | Student in an Organized Health Care Education/Training Program | 6167 Allen Cove Ct, Las Vegas, NV 89148-1799 | 2020-09-02 |
| 1972127314 | Toyokazu Endo | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 | 2020-06-01 |
| 1962025775 | William Taylor Gravley | Student in an Organized Health Care Education/Training Program | 1510 Ruby Cliffs Ln Unit 204, Las Vegas, NV 89144-7015 | 2020-05-27 |
| 1477174449 | Vishnu Halthore | Student in an Organized Health Care Education/Training Program | 2152 Turquoise Ridge St Unit 205, Las Vegas, NV 89117-5972 | 2020-05-01 |
| 1417576869 | Jesus Mendez Jr. | Student in an Organized Health Care Education/Training Program | 10962 Pentland Downs St, Las Vegas, NV 89141-3997 | 2020-04-15 |
| 1124657333 | Daniel Gerardo Arias | Student in an Organized Health Care Education/Training Program | 700 Shadow Ln Ste 400, Las Vegas, NV 89106-4159 | 2020-04-08 |
| 1659900959 | Connor Wayman | Student in an Organized Health Care Education/Training Program | 6655 S Cimarron Rd, Las Vegas, NV 89113-2180 | 2020-04-07 |
| 1700413887 | Sameera Baig | Student in an Organized Health Care Education/Training Program | 2880 N. Tenaya Way, Las Vegas, NV 89128-0431 | 2020-03-26 |
| 1457988537 | Wesley Washington Yim | Student in an Organized Health Care Education/Training Program | 657 N Town Center Dr Ofc, Las Vegas, NV 89144-6367 | 2020-03-26 |
| Find all providers in LAS VEGAS | ||||
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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.