MRS. NIKISHA NICOLE ROBERTS (NPI# 1881796035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881796035 |
| Entity Type | Individual |
| Full Name | MRS. NIKISHA NICOLE ROBERTS |
| Other Name | MS. NIKISHA NICOLE WALKER |
| Credential | MPH PAC |
| Practice Address |
1989 W Lumsden Rd Brandon FL 33511-8821 |
| Mailing Address |
10051 5th St N Ste 200 St Petersburg FL 33702-2211 |
| Practice Telephone | 8136533111 |
| Practice Fax Number | 8136531384 |
| Mailing Telephone | 7278240780 |
| Mailing Fax Number | 8135148891 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9102619 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 101660400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8800 Grand Oak Cir, Suite 400, Tampa, FL 336372006 | 8135586639 | 8135586622 |
| Street Address |
1989 W LUMSDEN RD |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-8821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164495297 | Brunilda Nazario | Family Medicine | 1989 W Lumsden Rd, Brandon, FL 33511-8821 | 2006-02-09 |
| 1497135883 | Sandra Rodriguez Fernandez | Internal Medicine | 1989 W Lumsden Rd, Brandon, FL 33511-8821 | 2015-06-01 |
| 1740213537 | Lemmy Nsor Effa | Family Medicine | 1989 W Lumsden Rd, Brandon, FL 33511-8821 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548892904 | Meghan Seymour | Physician Assistant | 510 Glensview Dr, Brandon, MS 39047-7919 | 2020-02-04 |
| 1699006718 | Tom Patrick Timothy | Physician Assistant | 2149 Brandon Park Cir, Brandon, FL 33510-3946 | 2010-01-29 |
| 1023286606 | Margaret Saunders Brown | Physician Assistant | 934 Oakfield Dr, Brandon, FL 33511-4950 | 2008-02-15 |
| 1780748368 | Patrick Sean Duffy | Physician Assistant | 131 N Oakwood Ave Ste 135, Brandon, FL 33510 | 2006-12-20 |
| 1104933241 | Devon Adair Bathurst | Physician Assistant | Brandon Regional Hospital, 119 Oakfield Dr., Brandon, FL 33511 | 2006-08-24 |
| 1104853704 | Amanda Renea Porter | Physician Assistant | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5016 | 2006-06-27 |
| 1346286143 | Mark Herbert Sutherland | Physician Assistant | 799 Lumsden Rd., Brandon, FL 33511 | 2006-06-21 |
| 1396780698 | Barbara Harvison | Physician Assistant | 1101 E Holly Blvd, Brandon, SD 57005 | 2006-06-19 |
| 1487628376 | Tommy L Sims | Physician Assistant | 721 W Robertson St, Suite 102, Brandon, FL 33511-4900 | 2006-02-15 |
| 1619584224 | Lucy Harris | Physician Assistant | 615 Vonderburg Dr, Brandon, FL 33511-5972 | 2020-09-28 |
| Find all providers in BRANDON | ||||
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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.