JACOB S ROBERTS (NPI# 1952696270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952696270 |
| Entity Type | Individual |
| Full Name | JACOB S ROBERTS |
| Credential | FMHNPI |
| Practice Address |
230 N 1680 E Suite H1 Saint George UT 84790-2579 |
| Mailing Address |
230 N 1680 E Ste H1 Saint George UT 84790-2579 |
| Practice Telephone | 4356521897 |
| Practice Fax Number | 4356525909 |
| Mailing Telephone | 4356521897 |
| Mailing Fax Number | 4356525909 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2015-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6874787-4408 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
| 1851938526 | Jacob Stuart Roberts | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-12-02 |
| 1750861779 | Jacob Wesley Roberts | Physician Assistant | 200 Banning St, Dover, DE 19904-3485 | 2018-08-20 |
| 1487149191 | Jacob Roberts | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2018-06-25 |
| 1811411218 | Jacob Scott Roberts | Registered Nurse | 12 Ingalls Court, Methoen, MA 01844 | 2017-07-28 |
| 1790989945 | Jacob Benjamin Roberts | Physical Therapist | 1542 Elk Creek Dr, Suite B, Idaho Falls, ID 83404-8322 | 2007-06-12 |
| 1831218817 | Jacob Edward Roberts | Surgery | 14555 Levan Rd, Marion Professional Building Suite 311, Livonia, MI 48154-5083 | 2007-03-28 |
| 1265474472 | Jacob Aaron Roberts | Emergency Medicine | 620 North Main, Harrison, AR 72601-2926 | 2006-06-12 |
| Street Address |
230 N 1680 E SUITE H1 |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84790-2579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039178 | Abbey Robison | Behavioral Analyst | 230 N 1680 E, Saint George, UT 84790-2579 | 2020-09-24 |
| 1790256485 | Garrett Bartyn | Behavior Technician | 230 N 1680 E, Saint George, UT 84790-2579 | 2018-12-06 |
| 1336518000 | Tyler Olson | Behavioral Analyst | 230 N 1680 E, Suit A, Saint George, UT 84790-2579 | 2015-09-23 |
| 1457793697 | Huntsman West Spine LLC | Orthopaedic Surgery | 230 N 1680 E, Ste I-1, Saint George, UT 84790-2579 | 2013-07-29 |
| 1376758342 | Jaime Lee Bacon | Social Worker | 230 N 1680 E, Ste T2, Saint George, UT 84790-2573 | 2007-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821565839 | Clint Lee Martineau | Nurse Practitioner | 230 N 1680 E # 1, Saint George, UT 84790-2579 | 2018-10-28 |
| 1972141588 | Alberto Souza Pllc | Nurse Practitioner | 640 E 700 S Ste 205b, Saint George, UT 84770-5773 | 2019-12-13 |
| 1710544697 | Paige Marshall Aprn Pllc | Nurse Practitioner | 1031 S Bluff St, Saint George, UT 84770-5206 | 2019-05-25 |
| 1639652332 | Paige Marshall | Nurse Practitioner | 1031 S Bluff St, Saint George, UT 84770-5206 | 2018-09-10 |
| 1831615145 | Heather Lynn Farnsworth | Nurse Practitioner | 320 East 600 South, Saint George, UT 84770-8477 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536737 | Bradley Martin | Nurse Practitioner | 31 M St Apt 110, Salt Lake City, UT 84103-3846 | 2020-07-29 |
| 1710595178 | Shannon Lee Zaryoun | Nurse Practitioner | 7970 S Grand Vista Way, Cottonwood Heights, UT 84121-5683 | 2020-07-21 |
| 1023640851 | Senior Nurse Practitioner Consultants | Nurse Practitioner | 5802 S 900 E # 3, Murray, UT 84121-1644 | 2020-02-10 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1124676044 | Marie R. Hurst | Nurse Practitioner | 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403-4838 | 2019-09-04 |
| 1437706058 | Austin Sumner Heaps | Nurse Practitioner | 1044 N 600 E, Morgan, UT 84050-9269 | 2019-08-19 |
| 1356827505 | Ashley Smith | Nurse Practitioner | 515 N 600 E, Hyrum, UT 84319-1133 | 2018-07-11 |
| 1588176606 | Bradley Keep | Nurse Practitioner | 4610 W 9980 N, Cedar Hills, UT 84062-8728 | 2017-10-30 |
| 1023548070 | Sarah Leggett | Nurse Practitioner | 9235 S Redwood Rd Ste A, West Jordan, UT 84088-5811 | 2017-06-13 |
| 1720433196 | Lillian Farris | Nurse Practitioner | 2180 E 4500 S Ste 125, Salt Lake City, UT 84117-4021 | 2016-05-04 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84790 |
Please comment or provide details below to improve the information on JACOB S ROBERTS.
| 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.