JASON WILLIAM ROBERTS (NPI# 1114571130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114571130 |
| Entity Type | Individual |
| Full Name | JASON WILLIAM ROBERTS |
| Credential | NP |
| Practice Address |
9427 Eastside Drive Ext Ste A Newton MS 39345-8063 |
| Mailing Address |
611 N 39th Ave Yakima WA 98902-6348 |
| Practice Telephone | 6016830330 |
| Mailing Telephone | 6017575718 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 903294 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271607 | Jason A Roberts | Counselor | 94-1345 Kulewa Loop # 18a, Waipahu, HI 96797-4373 | 2020-07-03 |
| 1710470109 | Jason Carlo Roberts | Physical Therapist | 261 Mack, Detroit, MI 48201 | 2018-06-11 |
| 1003269895 | Jason Roberts | Nurse Practitioner | 199 Longview Dr, Rockford, MI 49341-1130 | 2016-07-18 |
| 1851763585 | Jason Evan Roberts | Marriage & Family Therapist | 105 Fidelity St. (a-51), Carrboro, NC 27510 | 2015-10-21 |
| 1528437662 | Jason Roberts | Contractor | 10814 Wilkins Rd, Rougemont, NC 27572 | 2015-09-18 |
| 1073882288 | Jason E Roberts | Physical Therapist | 987565 Nebraska Medical Ctr, Omaha, NE 68198-7565 | 2011-12-16 |
| 1386734630 | Jason Warrah Roberts | Chiropractor | 1508 Santa Fe Dr Ste 102, Weatherford, TX 76086-5859 | 2006-10-14 |
| 1811900343 | Jason L. Roberts | Specialist/Technologist | 600 Fontana Blvd # D, Havelock, NC 28532-3104 | 2006-08-14 |
| 1487630034 | Jason Trevor Roberts | Specialist/Technologist | 1000 Elysian Park Ave, Los Angeles, CA 90012-1112 | 2005-12-15 |
| 1578046801 | Jason G Roberts | Case Manager/Care Coordinator | 130 Southern School Rd, Somerset, KY 42501 | 2018-09-12 |
| Street Address |
9427 EASTSIDE DRIVE EXT STE A |
| City | NEWTON |
| State | MS |
| Zip Code | 39345-8063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503097 | Angela M Reeves | Family Medicine | 9427 Eastside Drive Ext Ste A, Newton, MS 39345-8063 | 2020-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
| 1750838330 | Newton Dme and Supply | Durable Medical Equipment & Medical Supplies | 909 Mlkjrdr, Newton, MS 39345 | 2016-09-01 |
| 1669743233 | Pioneer Health Services of Newton County, LLC | Clinic/Center | 9427 Eastside Drive Ext. Suite A, Newton, MS 39345 | 2012-01-13 |
| 1346435633 | Laticia Bickham | Counselor | 2901 Pine Bluff Rd, Newton, MS 39345 | 2007-09-10 |
| 1134262553 | Buren Steve Smith Jr. | Psychologist | 701 Northside Dr, Newton, MS 39345 | 2007-02-15 |
| 1982782694 | East Central Planning & Development District | Case Management | 280 Commercial Dr, Newton, MS 39345 | 2006-11-01 |
| 1013283829 | Vanessa Norman | Nurse Practitioner | 252 Northside Dr, Newton, MS 39345 | 2012-03-26 |
| 1669612198 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345 | 2009-02-24 |
| 1063667939 | Newton Hospital, Inc | General Acute Care Hospital | 9421 Eastside Drive Extention, Newton, MS 39345 | 2008-11-19 |
| 1629143136 | Pioneer Health Services of Newton County, LLC | Psychiatric Unit | 9421 Eastside Drive Extention, Newton, MS 39345 | 2006-11-21 |
| Find all providers in zip 39345 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071173 | Advanced Medical and Wellness Centers L.L.C. | Nurse Practitioner | 65 Newton Sparta Rd, Newton, NJ 07860-2816 | 2020-07-29 |
| 1508407495 | Halyna Haba | Nurse Practitioner | 4 Augusta Ct, Newton, NJ 07860-5236 | 2019-10-02 |
| 1134694938 | Arista Healthcare Inc | Nurse Practitioner | 46 Austin Street #301, Newton, MA 02460-1861 | 2018-10-08 |
| 1396227211 | Amy Hulse | Nurse Practitioner | 700 Medical Center Dr Ste 101, Newton, KS 67114-9014 | 2018-09-06 |
| 1669997987 | Doria Sforza | Nurse Practitioner | 2014 Washington St Ste 563, Newton, MA 02462-1607 | 2017-08-08 |
| 1013163427 | Jodi F Holloway | Nurse Practitioner | 315 W 3rd St N, Newton, IA 50208-2015 | 2008-08-18 |
| 1619005360 | Gerri Fisher Morrison | Nurse Practitioner | 105b N Main Ave, Newton, NC 28658-3213 | 2007-03-02 |
| 1063582765 | Michele Kinder | Nurse Practitioner | 910 S Van Buren St, Newton, IL 62448-1727 | 2006-11-09 |
| 1164435798 | Janet Greer | Nurse Practitioner | 2564 Highway 321s, Newton, NC 28658 | 2006-08-14 |
| 1770536682 | Maureen E. Entz | Nurse Practitioner | 700 Medical Center Dr Ste 150, Newton, KS 67114-9015 | 2006-05-19 |
| Find all providers in NEWTON | ||||
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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.