LISA SHEA ROBERTS


Address: 55 E 100 N, Suite 303, Logan, UT 84321-4661
Phone: 4357607078

LISA SHEA ROBERTS (NPI# 1043652803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043652803
Entity Type Individual
Full Name LISA SHEA ROBERTS
Credential F.N.P.
Practice Address 55 E 100 N
Suite 303
Logan
UT 84321-4661
Mailing Address 12965 W 61st Cir
Arvada
CO 80004-3981
Practice Telephone 4357607078
Mailing Telephone 4357607078
Enumeration Date 2013-07-22
Last Update Date 2019-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
8689112-4405 UT Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
8689112-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA ROBERTS

NPI Name Taxonomy Address Enumeration
1639785884 Lisa Ann Roberts Registered Nurse 10720 N Rodney Parham Rd Ste B5, Little Rock, AR 72212-4199 2020-09-22
1679079008 Lisa R Roberts Specialist 61 Davis Ave Apt M, White Plains, NY 10605-1009 2018-04-04
1083148910 Lisa Lembeck Roberts Internal Medicine 1500 S. Fairfield St, Chicago, IL 60608 2017-04-18
1528433380 Lisa Roberts Occupational Therapist 5455 Glenridge Dr, Atlanta, GA 30342-4968 2015-12-04
1730510454 Lisa Roberts Counselor 1440 Old Bethel Church Road, Monticello, KY 42633-1210 2013-12-05
1033385182 Lisa Anne Roberts Registered Nurse 10654 E Ananea Ave, Mesa, AZ 85208-8738 2008-05-07
1932241395 Lisa Northcutt Roberts Counselor 206 E. Main, Gustine, TX 76455 2007-02-13
1437298296 Lisa A Roberts Physician Assistant 3555 Monte Villa Pkwy, Bothell, WA 98021-8982 2007-02-06
1831264464 Lisa Roberts Internal Medicine 50 Park Terrace East, 7k, New York, NY 10034 2006-11-21
1467563700 Lisa Beth Roberts Optometrist 29 Irvin Drive, Philipsburg, PA 16866 2006-08-31

Office Location

Street Address 55 E 100 N
SUITE 303
City LOGAN
State UT
Zip Code 84321-4661

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790903003 David R Baker Clinical Medical Laboratory 55 E 100 N, Suite 305, Logan, UT 84321-4661 2007-04-23
1912368549 Sage Functional Medicine Center Clinic/Center 55 E 100 N, Suite 303, Logan, UT 84321-4661 2016-03-09
1306082409 Victor Herman Nelson Marriage & Family Therapist 55 E 100 N, Suite 204, Logan, UT 84321-4661 2008-12-21
1235347071 Katherine Ruggeri Naturopath 55 E 100 N, Suite 301, Logan, UT 84321-4661 2007-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265074157 Grant E Severe Pharmacist 175 E 442 N, Logan, UT 84321 2019-10-11
1437712585 Gregory Scott Hansen Pharmacist 412 East 200 North, Logan, UT 84321 2019-04-15
1043701584 Mckell Peidl Behavior Technician 240 E 400 N Apt 8, Logan, UT 84321 2018-05-21
1801331194 Eric Dutson Speech-Language Pathologist 964 W 2880 S, Nibley, UT 84321 2016-12-22
1063805299 Krystal Cox Marriage & Family Therapist 493 North 700 East, Logan, UT 84321 2015-03-12
1013340801 Carly D. L. Lebaron Marriage & Family Therapist 95 W. 100 S., Suite 360, Logan, UT 84321 2013-08-15
1669710471 Brandon Bailey Counselor 1465 N. 300 W., Ste. A, Brigham, UT 84321 2013-01-29
1871843086 Brandi Lee Richins Social Worker 90 E. 200 N., Logan, UT 84321 2012-09-14
1922356732 Stacy Lynn Hamilton Jones Marriage & Family Therapist 60 East Center Street, Suite 205, Keystone Family Solutions, Logan, UT 84321 2012-08-28
1992002455 Robert Thomas Allred Chiropractor 944 South Highway 89/91, Logan, UT 84321 2011-02-18
Find all providers in zip 84321

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811519085 Savannah Alder Nurse Practitioner 82 N 1250 E, Logan, UT 84321-4920 2020-05-11
1912537887 Kathryn Grace Quezada Nurse Practitioner 165 E 100 N Apt E, Logan, UT 84321-4630 2020-01-20
1104395375 William Ray Watkins Jr. Nurse Practitioner 214 Hanging Rock Hwy, Logan, WV 25601-5102 2018-11-17
1841783727 Erica Lupson Nurse Practitioner 3 Mile Curve, Logan, WV 25601 2018-06-14
1265959704 Benjamin Tackett Nurse Practitioner 140 Stollings Ave Ste 1, Logan, WV 25601-4035 2017-08-25
1295275717 Jennifer Courtney Coleman Nurse Practitioner 25 Mae St, Logan, OH 43138-8965 2017-03-02
1194100701 Kendall Gilbert Brown Nurse Practitioner 1225 Valley View Dr, Logan, UT 84321-4585 2015-07-24
1255731014 Donalee Thomson Nurse Practitioner 850 E 1200 N 9100 Old Main Hl, Logan, UT 84322-9100 2014-08-29
1265717250 Martin L. Codispoti Nurse Practitioner 122 Nick Savas Dr, Logan, WV 25601-3468 2011-10-21
1922242262 Cynthia Lynn Hazelwood Nurse Practitioner 2310 N 400 E Ste A, Logan, UT 84341-1796 2009-04-30
Find all providers in LOGAN

Competitor

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City LOGAN
Zip Code 84321

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Dataset Information

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.

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