VICKI J ROBERTS (NPI# 1124187331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124187331 |
| Entity Type | Individual |
| Full Name | VICKI J ROBERTS |
| Credential | MD |
| Practice Address |
808 E Wakefield Ave Family Medicine of Southeast Missouri Sikeston MO 63801-5147 |
| Practice Telephone | 5736206444 |
| Practice Fax Number | 5734759879 |
| Mailing Telephone | 5736206444 |
| Mailing Fax Number | 5734759879 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2005013758 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 207582800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952554024 | Vicki L Roberts | Social Worker | 1730 Prospect, Ste 300, Kansas City, MO 64127 | 2008-11-02 |
| 1235278896 | Vicki June Roberts | Clinical Neuropsychologist | 1778 Century Blvd Ne, Suite A, Atlanta, GA 30345-3398 | 2007-02-06 |
| 1790154318 | Vicki Roberts | Massage Therapist | 4909 Nw 27th Ct, Suite B, Gainesville, FL 32606-6509 | 2015-09-24 |
| 1124274212 | Vicki Roberts | Community Health Worker | 306 N 2nd St, Piedmont, MO 63957-1301 | 2008-08-08 |
| 1821191230 | Vicki Lynn Roberts | Psychiatry & Neurology | 2320 Broadway, Suite 403, Paducah, KY 42001 | 2006-09-07 |
| 1477517662 | Vicki Maxwell Roberts | Occupational Therapist | 812 S Park St, Carrollton, GA 30117-4412 | 2006-04-14 |
| 1952379471 | Vicki S Roberts | Physician Assistant | 3574 Sunset Blvd, West Columbia, SC 29169-3044 | 2006-03-10 |
| Street Address |
808 E WAKEFIELD AVE FAMILY MEDICINE OF SOUTHEAST MISSOURI |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-5147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679569065 | Sandra T Bollinger | Pharmacist | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2005-09-21 |
| 1811493547 | Adam Duncan | Pharmacist | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2018-04-02 |
| 1386149417 | Chase Deason | Pharmacist | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2018-03-29 |
| 1699104463 | Kristen Ann Komaiko | Pharmacist | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2013-11-02 |
| 1487895561 | Health Priorities, Inc. | Pharmacy | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2009-03-18 |
| 1619145612 | Family Medicine of Southeast Missouri, LLC | Clinic/Center | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2008-02-13 |
| 1831377522 | Logan & Seiler Inc | Durable Medical Equipment & Medical Supplies | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2008-02-05 |
| 1841476348 | Leo A. Bruce | Optometrist | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2008-01-14 |
| 1881873800 | Logan & Seiler Inc | Durable Medical Equipment & Medical Supplies | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2007-10-26 |
| 1861512576 | Jeffrey Lee Nagle | Chiropractor | 808 E Wakefield Ave, Suite A, Sikeston, MO 63801-5147 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649498122 | Sikeston Medical Center, L.l.p | Family Medicine | 916 S Kingshighway St, Sikeston, MO 63801-4416 | 2007-04-23 |
| 1326111253 | Smith Street Medical Clinic | Family Medicine | 117 Smith Street, Sikeston, MO 63801 | 2006-11-16 |
| 1225101157 | 1st Choice Family and Occupational Medicint Clinic | Family Medicine | 121 Smith Street, Sikeston, MO 63801 | 2006-11-16 |
| 1639274236 | Colleen L Hunter | Family Medicine | 1017 N Main St, Sikeston, MO 63801-5043 | 2006-09-14 |
| 1083728935 | Sarah H Curry | Family Medicine | 201 Plaza Dr, Suite B, Sikeston, MO 63801-5105 | 2006-08-18 |
| 1346228624 | Joyce M. Reed | Family Medicine | 1012 North Main Street, Sikeston, MO 63801 | 2006-01-06 |
| 1578559027 | Kenneth David Stone | Family Medicine | 121 Smith Ave, Sikeston, MO 63801-5239 | 2005-09-21 |
| 1639164965 | Fred K Uthoff | Family Medicine | 1019 N Main St, Sikeston, MO 63801-5043 | 2005-09-13 |
| 1588131338 | Saint Francis Medical Center | Family Medicine | 1012 N Main St, Sikeston, MO 63801-5044 | 2018-10-30 |
| 1508157330 | Trevin Mayabb | Family Medicine | 1012 N Main St, Sikeston, MO 63801-5044 | 2011-04-27 |
| Find all providers in SIKESTON | ||||
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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.