JACKIE ROBERTS (NPI# 1174678189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174678189 |
| Entity Type | Individual |
| Full Name | JACKIE ROBERTS |
| Credential | LPN |
| Practice Address |
300 E Prosser Rd Lot 11 Cheyenne WY 82007-3128 |
| Practice Telephone | 3076353972 |
| Mailing Telephone | 3076353972 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 5526 | WY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066256 | Jackie Roberts | Case Manager/Care Coordinator | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2019-07-26 |
| Street Address |
300 E PROSSER RD LOT 11 |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82007-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548788102 | Melanie Ann Traas | Speech-Language Pathologist | 236 Parsley Blvd, Cheyenne, WY 82007 | 2017-09-05 |
| 1083135701 | Courtney Jo Tatum | Case Manager/Care Coordinator | 209 Stanfield Ave, Cheyenne, WY 82007 | 2017-07-03 |
| 1679838056 | Ryan Wayne Ackerman | Counselor | 117 West 9th Street, Cheyenne, WY 82007 | 2012-07-11 |
| 1992932420 | Libby Jane Phillips | Pharmacist | 700 S. Greeley Hwy, Cheyenne, WY 82007 | 2009-06-11 |
| 1043382336 | Dale C Brentlinger | Internal Medicine | 2508 E Fox Farm Road, #1a, Cheyenne, WY 82007 | 2006-11-14 |
| 1841273901 | Ryan C Benne | Chiropractor | 2809 Evans Ave, Cheyenne, WY 82007 | 2005-11-22 |
| 1386632594 | Cheyenne Health & Wellness Center | Clinic/Center | 2508 East Fox Farm Road, Suite 1a, Cheyenne, WY 82007 | 2005-10-11 |
| 1255718953 | Wal-mart Srores Inc | Technician/Technologist | 580 Livingston Ave, Cheyenne, WY 82007 | 2015-05-01 |
| 1811030554 | Stride Learning Center | Clinic/Center | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2007-02-14 |
| 1568006443 | Audrey Marie Saling | Occupational Therapist | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2019-11-04 |
| Find all providers in zip 82007 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033551197 | Patricia Ann Miller | Licensed Practical Nurse | 1310 Blossom Ct, Cheyenne, WY 82007-3317 | 2013-07-17 |
| 1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
| 1609427327 | Sharon Cox | Licensed Practical Nurse | 510 W 29th St, Cheyenne, WY 82001-2760 | 2019-09-24 |
| 1528407962 | Patti Guymon | Licensed Practical Nurse | 3304 E. I-80 Service Rd, Cheyenne, WY 82009 | 2013-06-19 |
| 1730462268 | Donald Slater | Licensed Practical Nurse | 2310 E 8th St, Cheyenne, WY 82001-5256 | 2011-09-21 |
| 1750524880 | Amanda M Brinkman | Licensed Practical Nurse | 604 E 25th St, Cheyenne, WY 82001-3133 | 2009-04-20 |
| 1972761625 | Janice A Downing | Licensed Practical Nurse | 510 W 29th St, Cheyenne, WY 82001-2760 | 2008-05-29 |
| 1205008695 | Angelina M Norviel | Licensed Practical Nurse | 604 E 25th St, Cheyenne, WY 82001-3133 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352681 | Gwendi Rietz | Licensed Practical Nurse | 3211 Energy Ln Ste 306, Casper, WY 82604-2963 | 2018-07-13 |
| 1154853398 | Marietta Camra Miller | Licensed Practical Nurse | 617 Zane Ave, Basin, WY 82410 | 2017-03-28 |
| 1477931269 | Janile Susan Kennedy | Licensed Practical Nurse | 108 Yellow Creek Rd, Evanston, WY 82930-5234 | 2015-05-12 |
| 1083001291 | Kay Ellen French | Licensed Practical Nurse | 920 S 8th St, Worland, WY 82401-3923 | 2015-04-25 |
| 1639591597 | Darcie Ek | Licensed Practical Nurse | 631 Frank St, Sheridan, WY 82801-4983 | 2014-01-13 |
| 1801136122 | Lisa Marie Wall | Licensed Practical Nurse | 659 E 5th St, Sheridan, WY 82801-3101 | 2013-02-23 |
| 1740531599 | Julia E Antelope | Licensed Practical Nurse | 197 Yellowcalf, Ethete, WY 82520 | 2012-09-19 |
| 1528319373 | Amanda L Schultz | Licensed Practical Nurse | 110 Sharpnose Road, Fort Washakie, WY 82514 | 2012-09-19 |
| 1083962914 | Cheryl Ann Sherman | Licensed Practical Nurse | 1575 Highway 150 S Ste A, Evanston, WY 82930-5357 | 2012-08-27 |
| 1629348347 | Garrett E. Platt | Licensed Practical Nurse | 196 Arrowhead Dr Ste 6, Evanston, WY 82930-8752 | 2012-01-11 |
| Find all providers with the same taxonomy | ||||
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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.