JUSTIN ROBERTS (NPI# 1962953158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962953158 |
Entity Type | Individual |
Full Name | JUSTIN ROBERTS |
Credential | NP-C |
Practice Address |
333 S 38th St Ste E Muskogee OK 74401-4937 |
Practice Telephone | 9189105391 |
Practice Fax Number | 9189105395 |
Mailing Telephone | 9189105391 |
Mailing Fax Number | 9189105395 |
Enumeration Date | 2016-10-22 |
Last Update Date | 2016-10-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
84805 | OK | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
84805 | OK | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073880746 | Justin L Roberts | Dentist | 807 Spring Forest Road, Raleigh, NC 27609 | 2011-11-24 |
1619057064 | Justin W. Roberts | Otolaryngology | 501 West Pine Street, Farmington, MO 63640 | 2006-10-17 |
1407481146 | Justin Hugh Roberts | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2020-03-03 |
1063045425 | Justin Ryan Roberts | Pharmacist | 2950 S Newburgh Rd, Wayne, MI 48184-1002 | 2020-02-13 |
1083260749 | Justin Roberts | Behavioral Analyst | 600 N 1st St, Las Vegas, NV 89101-1904 | 2019-08-16 |
1881172419 | Justin Roberts | Optometrist | 623 Atwells Ave, Providence, RI 02909-7403 | 2018-08-06 |
1548754054 | Justin Roberts | Dentist | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2018-06-18 |
1255887915 | Justin Roberts | Spec/Tech, Pathology | 2100 Stantonsburg Rd, Greenville, NC 27834-6028 | 2016-08-31 |
1174978563 | Justin Douglas Roberts | Student in an Organized Health Care Education/Training Program | 355 Grand St, Jersey City, NJ 07302-4321 | 2016-05-04 |
1780047340 | Justin Roberts | Physical Therapist | 4100 Lake Otis Pkwy Ste 106, Anchorage, AK 99508-5230 | 2016-03-31 |
Street Address |
333 S 38TH ST STE E |
City | MUSKOGEE |
State | OK |
Zip Code | 74401-4937 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
Find all providers in zip 74401 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972104610 | Progressing Forward Medical and Mental Health Services LLC | Nurse Practitioner | 9000 Nw 84th St, Yukon, OK 73099-8677 | 2020-11-07 |
1265031819 | Michelle Gaviola | Nurse Practitioner | 14867 Stoney Ridge Ln, Skiatook, OK 74070 | 2020-10-23 |
1235783325 | Julie Reid | Nurse Practitioner | 519 W South Park St, Broken Arrow, OK 74011-2435 | 2019-07-28 |
1316504012 | Malinda Kaye Reece | Nurse Practitioner | 15909 Stoneview Dr, Oklahoma City, OK 73170-7628 | 2019-05-29 |
1235603606 | Lori Kimberly Scott | Nurse Practitioner | 4320 Avalon Ct, Oklahoma City, OK 73120-8175 | 2019-01-18 |
1093280349 | Christie Deloris Shelly | Nurse Practitioner | 1120 S Utica Ave Ste 460, Tulsa, OK 74104-4090 | 2018-10-12 |
1285113274 | Millicent Olulade | Nurse Practitioner | 101 Park Ave Ste 1310, Oklahoma City, OK 73102-7216 | 2018-08-09 |
1437648201 | Wendy Wilbur | Nurse Practitioner | 816 Crown Heights Ln, Purcell, OK 73080-9717 | 2018-05-07 |
1225542905 | Chan Vannarath | Nurse Practitioner | 13401 Three Oaks Dr, Jones, OK 73049-8539 | 2017-11-17 |
1053787283 | Amanda Combs | Nurse Practitioner | 202 Beam Ln, Pocola, OK 74902-2463 | 2015-08-11 |
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.