KATRINA ROBERTS (NPI# 1154849289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154849289 |
| Entity Type | Individual |
| Full Name | KATRINA ROBERTS |
| Other Name | KATRINA GUSTAFSON |
| Practice Address |
70 Yellow Creek Rd Evanston WY 82930-5227 |
| Practice Telephone | 3077890535 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3973 | WY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322502 | Katrina Roberts | Nurse Anesthetist, Certified Registered | 1984 Peachtree Rd Nw, #515, Atlanta, GA 30309-5219 | 2016-08-30 |
| 1780040907 | Katrina Roberts | Durable Medical Equipment & Medical Supplies | 849 S Gravel Pit Rd, Decatur, IL 62522-9720 | 2016-01-04 |
| Street Address |
70 YELLOW CREEK RD |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-5227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659396281 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 70 Yellow Creek Rd, Evanston, WY 82930-5227 | 2006-07-13 |
| 1659899508 | Jessie Faye Taylor | Pharmacist | 70 Yellow Creek Rd, Evanston, WY 82930-5227 | 2017-08-30 |
| 1699299826 | Rachael Kankamp | Pharmacist | 70 Yellow Creek Rd, Evanston, WY 82930-5227 | 2017-07-30 |
| 1841689346 | Charles B Tippetts | Pharmacist | 70 Yellow Creek Rd, Evanston, WY 82930-5227 | 2015-01-21 |
| 1013294123 | Deanna Duryea Parkin | Pharmacist | 70 Yellow Creek Rd, Evanston, WY 82930-5227 | 2011-11-03 |
| 1700166907 | Ann Marie Houston | Pharmacist | 70 Yellow Creek Rd, Evanston, WY 82930-5227 | 2011-08-19 |
| 1659651982 | Amy Elizabeth Stokes | Pharmacist | 70 Yellow Creek Rd, Evanston, WY 82930-5227 | 2011-08-17 |
| 1902115355 | Eric W Johnson | Pharmacist | 70 Yellow Creek Rd, Evanston, WY 82930-5227 | 2010-10-04 |
| 1942519921 | Wyo Jon Brown | Pharmacist | 70 Yellow Creek Rd, Evanston, WY 82930-5227 | 2010-09-24 |
| 1053629048 | James Allen Poppe | Pharmacist | 70 Yellow Creek Rd, Evanston, WY 82930-5227 | 2010-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410549 | Grace Myhre | Pharmacist | 2650 Ridge Ave Rm G949, Evanston, IL 60201-1700 | 2019-07-29 |
| 1326552480 | Soheileh Hwang | Pharmacist | 800 Austin St Ste 101, Evanston, IL 60202-3450 | 2017-11-28 |
| 1720506728 | Kathryn Marie Schiavo | Pharmacist | 2650 Ridge Ave Rm G400, Evanston, IL 60201-1718 | 2017-08-30 |
| 1164951216 | Kia A Sutton | Pharmacist | 2485 Howard St, Evanston, IL 60202-3638 | 2017-06-11 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1235597295 | Steven Asbill | Pharmacist | 1890 Maple Ave, Apartment 1308e, Evanston, IL 60201-3159 | 2016-02-05 |
| 1902201437 | Theodora Kapos Jurichko | Pharmacist | 1018 Wesley Ave, Evanston, IL 60202-1161 | 2014-10-27 |
| 1518367259 | Lucas Sedlak | Pharmacist | 1616 Sherman Ave, Evanston, IL 60201 | 2014-08-29 |
| 1700210457 | Odessa G Ubongen | Pharmacist | 1910 Dempster St, Evanston, IL 60202-1016 | 2013-08-29 |
| 1275817850 | Nasima Mir Coria | Pharmacist | 1111 Church St Apt 804, Evanston, IL 60201-3691 | 2011-09-30 |
| Find all providers in EVANSTON | ||||
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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.