KATLYN ROBERTS


Address: 60160 E 8 Mile Rd, South Lyon, MI 48178-9768
Phone: 2484312770

KATLYN ROBERTS (NPI# 1114550506) 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) 1114550506
Entity Type Individual
Full Name KATLYN ROBERTS
Credential RN, MSN, CPNP
Practice Address 60160 E 8 Mile Rd
South Lyon
MI 48178-9768
Practice Telephone 2484312770
Enumeration Date 2020-02-13
Last Update Date 2020-03-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
4704321713 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 60160 E 8 MILE RD
City SOUTH LYON
State MI
Zip Code 48178-9768

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NPI Name Taxonomy Address Enumeration
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1003299777 James Sullivan Physical Therapy Assistant 10821 Bouldercrest Drive, South Lyon, MI 48178 2015-06-30
1255722088 Jennifer Nidetz Social Worker 23015 Cheyenne Dr, South Lyon, MI 48178 2015-02-16
1174938658 Michael Samir Matar Family Medicine 210 N Lafayette Street, South Lyon, MI 48178 2014-06-24
1043633191 Kwonsoo Kenneth Kim Anesthesiology 8854 Stoney Creek Dr., South Lyon, MI 48178 2014-01-27
1285071860 Ajanthan Sivagurunathan Student in an Organized Health Care Education/Training Program 210 North Lafayette, Providence Medical Center - South Lyon, South Lyon, MI 48178 2013-05-23
1184890055 Yvonne Marie Snyder Dentist 100 E Lake St, South Lyon, MI 48178 2008-05-01
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City SOUTH LYON
Zip Code 48178

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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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