KENDRA ROBERTS (NPI# 1013365006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013365006 |
| Entity Type | Individual |
| Full Name | KENDRA ROBERTS |
| Credential | NP |
| Practice Address |
100 Walco Ln Malvern AR 72104-6793 |
| Mailing Address |
10107 Suffolk Dr Little Rock AR 72204-4247 |
| Practice Telephone | 5014673400 |
| Mailing Telephone | 5019523962 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A004736 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | A004736 | A004736 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548223977 | Kendra Roberts | Counselor | 407 Carson St, Hot Springs, AR 71901-6852 | 2006-04-07 |
| 1740831114 | Kendra Roberts | Behavior Technician | 3031 C St, Sacramento, CA 95816-3326 | 2019-09-26 |
| 1851777684 | Kendra Roberts | Pharmacy Technician | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2015-08-04 |
| 1790168045 | Kendra Roberts | Community Health Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-07-06 |
| 1528323524 | Kendra Marie Roberts | Speech-Language Pathologist | 1416 N Church St, Mckinney, TX 75069-1806 | 2012-07-06 |
| Street Address |
100 WALCO LN |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-6793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558481481 | Maria Lane | Nurse Practitioner | 100 Walco Ln, Malvern, AR 72104-6793 | 2007-04-02 |
| 1982114252 | Tracey Lashay Franklin | Nurse Practitioner | 100 Walco Ln, Malvern, AR 72104-6793 | 2017-10-02 |
| 1336547843 | Gregory Scott Mckinney | Family Medicine | 100 Walco Ln, Malvern, AR 72104-6793 | 2014-12-15 |
| 1184977175 | Susan Mcdonald | Dentist | 100 Walco Ln, Malvern, AR 72104-6793 | 2012-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154781946 | Christine Wegmann | Nurse Practitioner | 2476 Swedesford Rd, # 150, Malvern, PA 19355-1456 | 2016-03-07 |
| 1821249590 | Julianne Clarke | Nurse Practitioner | 204 Oneida Ln, Malvern, PA 19355-3107 | 2008-09-30 |
| 1477721827 | Ellen Louise Bridy | Nurse Practitioner | 31 Landmark Dr, Malvern, PA 19355-2471 | 2008-02-19 |
| 1730632753 | Carl E Laguerre | Nurse Practitioner | 283 Lancaster Ave, Malvern, PA 19355-3089 | 2016-07-26 |
| 1528435534 | Christine Mcintyre | Nurse Practitioner | 414 Paoli Pike, Malvern, PA 19355-3311 | 2015-08-25 |
| 1417365776 | Nashanda Balogun | Nurse Practitioner | 2476 Swedesford Rd Ste 150, Malvern, PA 19355-1456 | 2014-07-30 |
| 1467428474 | Emmie J. Amerine | Nurse Practitioner | 325 Central Ave, 2nd Floor, Malvern, PA 19355-3265 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122121 | John Mychal Thompson | Nurse Practitioner | 1411 Terrace, Magnolia, AR 71753-2040 | 2020-10-21 |
| 1619581873 | Tammy M Palermo | Nurse Practitioner | 210 County Road 1071, Eureka Springs, AR 72632-9480 | 2020-09-04 |
| 1134733611 | Heather Suzanne Brown | Nurse Practitioner | 856 Silverpeak Rd, Sherwood, AR 72120-2366 | 2020-09-02 |
| 1891307054 | Jyrissa Robinson | Nurse Practitioner | 1209 Hideaway Cv, Bryant, AR 72022-5007 | 2020-08-19 |
| 1598308140 | Elizabeth Ann Charles | Nurse Practitioner | 7001 Rogers Ave Fl 6, Fort Smith, AR 72903-4073 | 2019-10-25 |
| 1548802309 | Jazzmon Nicole Trice | Nurse Practitioner | 8400 Highway 386 East, Wrightsville, AR 72183 | 2019-10-14 |
| 1902457955 | Debbie Diane Laws | Nurse Practitioner | 2415 N Tyler St, Little Rock, AR 72207-3740 | 2019-09-21 |
| 1104473214 | Rebecca Lopez | Nurse Practitioner | 3305 S 2nd Pl, Rogers, AR 72758-1427 | 2019-08-22 |
| 1457814501 | Charis Health and Wellness Clinic | Nurse Practitioner | 7500 Dollarway Rd Ste 403, White Hall, AR 71602-3083 | 2019-04-06 |
| 1780141531 | Lauren Kincannon | Nurse Practitioner | Baptist Health Cardiothoracic Surgery Clinic, Little Rock, AR 72205-7220 | 2019-02-28 |
| 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.