DR. TRENT ROUBLEAU (NPI# 1831624295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831624295 |
| Entity Type | Individual |
| Full Name | DR. TRENT ROUBLEAU |
| Credential | M.D. |
| Practice Address |
2114 Maplewood Ave Richmond VA 23220 |
| Mailing Address |
2114 Maplewood Ave Richmond VA 23220-5817 |
| Practice Telephone | 8326184214 |
| Mailing Telephone | 8326184214 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2018-07-02 |
| Gender Code | M |
| 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 |
| Street Address |
2114 MAPLEWOOD AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
| 1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
| 1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
| 1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
| 1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
| 1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
| 1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
| 1821445800 | Colleen Gibbons | Occupational Therapist | 1411 Grove Ave, Apt 13, Richmond, VA 23220 | 2016-05-19 |
| Find all providers in zip 23220 | ||||
| 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 |
|---|---|---|---|---|
| 1932708666 | Candice Carriere | Student in an Organized Health Care Education/Training Program | 211 Terrace Creek Ct, Richmond, TX 77406-3590 | 2020-10-23 |
| 1548867500 | Daniel Bailey Jr. | Student in an Organized Health Care Education/Training Program | 6211 Gilchrist Ave, Richmond, VA 23231-4723 | 2020-10-02 |
| 1659987899 | Chinwe Nwakaego Dike | Student in an Organized Health Care Education/Training Program | 8023 Bueller Pass Ln, Richmond, TX 77407-1824 | 2020-09-22 |
| 1073127924 | Yuzuru Sambommatsu | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Transplant Surgery Fellowship, 980057, 1250 E. Marshall Street, Richmond, VA 23298-0057 | 2020-09-08 |
| 1639782949 | Vannarong Keo | Student in an Organized Health Care Education/Training Program | 805 Sam Christopher Ct, Richmond, KY 40475-3048 | 2020-08-26 |
| 1770100646 | Reva Jain | Student in an Organized Health Care Education/Training Program | 171 Reid Ln, Richmond, CA 94801-1711 | 2020-06-26 |
| 1477178077 | Robert Cole Schmidt | Student in an Organized Health Care Education/Training Program | Vcu Department of Orthopedics Residency, 980153, 1250 E Marshall St, Richmond, VA 23298-0153 | 2020-06-10 |
| 1144845900 | Alexandra Ernst | Student in an Organized Health Care Education/Training Program | 1250 E Marshal Street, Vcuhs Dept of Orth Residency 980153, Richmond, VA 23298-0153 | 2020-06-08 |
| 1346865136 | Virginia Hamilton Behlen Lucas | Student in an Organized Health Care Education/Training Program | 1201 Broad Rock Blvd Rm 1k, Richmond, VA 23249-0001 | 2020-06-08 |
| 1023632817 | Francis Jefferson Oser II | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surg, 980645, 1250 E Marshall, Richmond, VA 23298-0645 | 2020-06-08 |
| Find all providers in RICHMOND | ||||
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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.