ROBERTA SMITH (NPI# 1912159781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912159781 |
| Entity Type | Individual |
| Full Name | ROBERTA SMITH |
| Other Name | MISS ROBERTA ANN FREELAND |
| Credential | RN |
| Practice Address |
2700 Stewart Parkway Annex B Roseburg OR 97471 |
| Mailing Address |
272 Medical Loop Suite E Roseburg OR 97471 |
| Practice Telephone | 5414403532 |
| Practice Fax Number | 5414403554 |
| Mailing Telephone | 5414403532 |
| Mailing Fax Number | 5414403554 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2015-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
200040188RN | OR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500665845 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841774684 | Roberta Marie Smith | Social Worker | 738 King St, Franklin, MA 02038-2536 | 2018-09-18 |
| 1033317128 | Roberta Leigh Smith | Speech-Language Pathologist | 4900 Los Pinos Drive Hwy 15, Pino Altos, NM 88053 | 2007-07-10 |
| 1679789275 | Roberta A. Smith | Registered Nurse | 793 S Nixon Camp Rd, Oregonia, OH 45054-9780 | 2007-05-14 |
| 1487184123 | Roberta Jean Smith | Pedorthist | 801 Dolliver St, Pismo Beach, CA 93449-2503 | 2017-06-15 |
| 1710326186 | Roberta Smith | Occupational Therapist | 1020 N Union St, Middletown, PA 17057-2158 | 2013-06-19 |
| 1356688774 | Roberta Marie Smith | Social Worker | 114 Cary St, Cary, IL 60013-2706 | 2013-01-04 |
| 1194044214 | Roberta Dayle Smith | Case Manager/Care Coordinator | 2024 W Broadway St, Muskogee, OK 74401-2758 | 2010-05-28 |
| 1013235662 | Roberta Henry Smith | Speech-Language Pathologist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2010-05-06 |
| 1134451404 | Roberta Ann Smith | Psychologist | 951 E 86th St, Executive North, Suite 140, Indianapolis, IN 46240-1849 | 2010-02-11 |
| 1316199714 | Roberta Marie Smith | Physician Assistant | 3801 Katella Ave, Suite 330, Los Alamitos, CA 90720-3338 | 2008-10-16 |
| Street Address |
2700 STEWART PARKWAY ANNEX B |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235174004 | Jerry Robert Smead | Pharmacist | 2700 Stewart Parkway, Roseburg, OR 97471 | 2006-06-17 |
| 1568980407 | Rachel Sutton | Dental Hygienist | 2700 Stewart Parkway, Roseburg, OR 97471 | 2017-08-30 |
| 1467987388 | Toryn Clark | Community Health Worker | 2700 Stewart Parkway, Roseburg, OREGON 97470 | 2017-04-28 |
| 1376905273 | Lisa Dawn Disante | Community Health Worker | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2016-03-22 |
| 1598125346 | Mary Anne Worthington | Counselor | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2016-03-07 |
| 1598130858 | Michael Dale Shipley | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-12-11 |
| 1023480548 | Angela Marie Gross | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-10-23 |
| 1578945804 | Rebecca Potuzak | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-06-23 |
| 1396126942 | Staci Bryan | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1245610435 | Loriann Barber | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831342039 | Mary Margaret Berch | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-31 |
| 1649422072 | Susan Hoerner | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-16 |
| 1922250794 | Marijean Bernardo | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-10 |
| 1417109257 | David Snawder | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-10 |
| 1487806253 | Debra Hash | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-10 |
| 1194977967 | Bruce Neal | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-10 |
| 1659523421 | Roberta Silva | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-10 |
| 1740408350 | Donna Scott | Registered Nurse | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2007-04-22 |
| 1780722009 | Margo M Borland | Registered Nurse | 770 Se Kane St, Roseburg, OR 97470-3943 | 2007-02-01 |
| 1366477176 | Michael C Mcnamara | Registered Nurse | 1813 W Harvard Ave, Roseburg, OR 97471-2754 | 2006-07-11 |
| Find all providers in ROSEBURG | ||||
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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.