ANGELA K ROBERTS (NPI# 1174742399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174742399 |
| Entity Type | Individual |
| Full Name | ANGELA K ROBERTS |
| Practice Address |
151 N Main St Decatur IL 62523-1206 |
| Mailing Address |
Po Box 710 Decatur IL 62525-0710 |
| Practice Telephone | 2173626262 |
| Mailing Telephone | 2173626262 |
| Enumeration Date | 2007-04-25 |
| 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 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548811599 | Angela Louise Roberts | Technician | 34 Cobber Ln, Baltimore, MD 21229-2800 | 2019-09-21 |
| 1114391588 | Angela Roberts | Licensed Practical Nurse | 504 S Auburn St, Grass Valley, CA 95945-7222 | 2015-11-21 |
| 1306215082 | Angela Roberts | Registered Nurse | 12950 St Rte 774, Bethel, OH 45106-8629 | 2015-09-23 |
| 1952779597 | Angela Roberts | Student in an Organized Health Care Education/Training Program | 508 Quail Run N, Altus, OK 73521-9723 | 2015-09-14 |
| 1528397155 | Angela Kay Roberts | Massage Therapist | 453 Vista Dr, Sparta, TN 38583-1360 | 2009-12-10 |
| 1871144972 | Angela Roberts | Case Manager/Care Coordinator | 151 S University Ave Ste 3200, Provo, UT 84601-4427 | 2019-09-20 |
| 1285287060 | Angela Roberts | Pharmacist | 985 W Bethany Dr, Allen, TX 75013-3740 | 2019-07-19 |
| 1811459282 | Angela Carol Roberts | Case Manager/Care Coordinator | 2129 Sw 59th St, Oklahoma City, OK 73119-7024 | 2019-04-03 |
| 1063995173 | Angela Kay Roberts | Nurse Practitioner | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2018-09-13 |
| 1477092773 | Angela Olivia Roberts | Nurse Practitioner | 10 Talcott Notch, Farmington, CT 06032 | 2017-02-20 |
| Street Address |
151 N MAIN ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62523-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029361 | Heritage Behavioral Health Cent Opt | Clinic/Center | 151 N Main St, Decatur, IL 62523-1206 | 2020-09-30 |
| 1881217206 | William Jihan | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-20 |
| 1053934471 | Jasmine M Kaylor | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-20 |
| 1891318218 | Andrea L Mccoy | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-20 |
| 1366065989 | Lindsay M Orlowski | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-19 |
| 1578186185 | Whitley B Hofer | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-19 |
| 1760003586 | Megan R Markwell | Registered Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-04 |
| 1316568132 | Erin Taylor | Registered Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-04 |
| 1902427982 | Latasha L Patton | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| 1710508692 | Tayler J Dance | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548763238 | Community Health Improvement Center | Clinic/Center | 1027 N Water, Decatur, IL 62523 | 2018-03-09 |
| 1093091597 | Leesa K Reed | Social Worker | 151 N. Main St., Heritage Behavioral Health, Decatur, IL 62523 | 2011-10-27 |
| 1407001357 | Pamela Sue Waterman | Counselor | 720 E. Wood St., Decatur, IL 62523 | 2008-11-19 |
| 1639231731 | Heritage Behavioral Health Center Inc. | Clinic/Center | 151 N Main Street, Decatur, IL 62523 | 2006-12-14 |
| 1669561080 | Diane S Pleasant | Counselor | 335 E Wood St Ste B, Decatur, IL 62523 | 2006-10-12 |
| 1376642470 | Gudrun Birgitta Armentrout | Marriage & Family Therapist | 247 West Prairie, Catholics Charities, Decatur, IL 62523 | 2006-09-22 |
| 1871117887 | Restore Wellness Counseling LLC | Social Worker | 106 North Main Street, Decatur, IL 62523 | 2020-06-04 |
| 1275004186 | Stephanie Maurer | Physician Assistant | 320 Central Ave, Decatur, IL 62523 | 2018-12-17 |
| 1669673620 | Decatur Public School Dist. #61 | Local Education Agency (LEA) | 101 W Cerro Gordo St, Decatur, IL 62523-1001 | 2007-05-29 |
| 1295246320 | Barbara A Nadler | Speech-Language Pathologist | 101 W Cerro Gordo St, Decatur, IL 62523-1001 | 2017-10-16 |
| Find all providers in zip 62523 | ||||
| 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 |
|---|---|---|---|---|
| 1700495975 | Shalunda Harrison | Licensed Practical Nurse | 4311 Christine Ct, Decatur, GA 30035-1702 | 2020-07-23 |
| 1730616392 | Kalena Yolanda Smith | Licensed Practical Nurse | 12219 Highway 503, Decatur, MS 39327-8915 | 2017-05-15 |
| 1871038729 | Kelli Sha'ron Johnson | Licensed Practical Nurse | 3014 Boring Ridge Dr, Decatur, GA 30034-4427 | 2017-01-02 |
| 1205207230 | Nekeisha Johnson | Licensed Practical Nurse | 4318 Sherwood Oaks Dr, Decatur, GA 30034-5475 | 2015-10-16 |
| 1124450010 | Kurteice C James | Licensed Practical Nurse | 2024 Fowler Rd, Decatur, GA 30035-2130 | 2013-08-02 |
| 1619216645 | Rose Andrea Hills | Licensed Practical Nurse | 3657 Dogwood Farm Rd, Decatur, GA 30034-6403 | 2013-02-12 |
| 1699382895 | Pamela Mckelvey | Licensed Practical Nurse | 4110 Us Highway 31 S, Decatur, AL 35603-1644 | 2020-09-30 |
| 1902427982 | Latasha L Patton | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| 1710508692 | Tayler J Dance | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| 1992326979 | Stephanie P Conlin | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on ANGELA K ROBERTS.
| 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.