BRENDA ROBERTS (NPI# 1720634934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720634934 |
| Entity Type | Individual |
| Full Name | BRENDA ROBERTS |
| Practice Address |
5906 Harrell St Detroit MI 48213-3534 |
| Practice Telephone | 3134522755 |
| Mailing Telephone | 3134522755 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049407 | Brenda Roberts | Psychologist | 44 Moriarity St, Dover, DE 19901-8408 | 2020-09-30 |
| 1528471869 | Brenda Marie Roberts | Licensed Practical Nurse | 3457 Latta Rd, Greece, NY 14612 | 2014-06-04 |
| 1356392021 | Brenda Lea Roberts | Social Worker | 505 N. Argonne Rd., Suite B108, Spokane Valley, WA 99212 | 2006-05-15 |
| 1881022135 | Brenda Jean Roberts | Social Worker | 3238 S Lecanto Hwy, Lecanto, FL 34461-9025 | 2013-10-24 |
| 1851645444 | Brenda Lee Roberts | Occupational Therapy Assistant | 47 Maggies Pond Rd, Greensboro, VT 05841-8800 | 2012-11-03 |
| 1588890701 | Brenda Roberts | Registered Nurse | 119 River Dr, Pikeville, KY 41501-1685 | 2009-06-02 |
| 1346466323 | Brenda Diane Roberts | Family Medicine | 16180 Se Sunnyside Rd, Ste 102, Happy Valley, OR 97015-6301 | 2007-04-18 |
| 1437216108 | Brenda Faye Roberts | Counselor | 614 Esplanade St, Lake Charles, LA 70607-6308 | 2007-01-02 |
| Street Address |
5906 HARRELL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48213-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376187476 | Sarda Charlotte Owens | Technician | 3502 Stockton St, Detroit, MI 48234-1735 | 2019-10-31 |
| 1992286108 | Jazmine Martin | Technician | 3501 Woodward Ave, Detroit, MI 48201-2441 | 2018-08-25 |
| 1326417494 | Onia Lee Pilgrim | Technician | 2263 Edison Street, Detroit, MI 48206-2042 | 2015-09-18 |
| 1669023057 | Latoya Nicole Cosey | Technician | 4401 Conner St, Detroit, MI 48215-2201 | 2019-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021028 | Jaharie Green | Technician | 235 Arbor Glen Dr, East Lansing, MI 48823-8459 | 2020-10-21 |
| 1265030555 | Lauren Alexa Remijan | Technician | 18250 Queensbury Dr, Livonia, MI 48152-3946 | 2020-10-09 |
| 1346857067 | Nicholas Luke Roman | Technician | 10452 Lodge Dr, Allendale, MI 49401-9395 | 2020-09-27 |
| 1346856242 | Marissa Jean Brandly | Technician | 768 W Castlebury Cir, Saline, MI 48176-1348 | 2020-09-17 |
| 1962016030 | Stephanie Pertchi | Technician | 10745 48th Ave Unit Q3, Allendale, MI 49401-8127 | 2020-09-04 |
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1477166924 | Whispering Pines 2 | Technician | 1878 Soules Rd, Afton, MI 49705-9717 | 2020-08-25 |
| 1659983062 | Serena Selwyn | Technician | 2024 Edgewood Ave Se, Grand Rapids, MI 49546-5718 | 2020-08-18 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1285242420 | Anna Therese Pignone | Technician | 918 E Grand River Ave Apt 718, East Lansing, MI 48823-4597 | 2020-07-14 |
| 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.