TERESA L ROBERTS


Address: 909 E State Blvd, Fort Wayne, IN 46805
Phone: 2604812700

TERESA L ROBERTS (NPI# 1184911158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184911158
Entity Type Individual
Full Name TERESA L ROBERTS
Other Name TERESA L BUSH
Credential PMHNP-BC
Practice Address 909 E State Blvd
Fort Wayne
IN 46805
Mailing Address 909 E State Blvd
Fort Wayne
IN 46805-3404
Practice Telephone 2604812700
Practice Fax Number 2604812709
Mailing Telephone 2604812700
Mailing Fax Number 2604812709
Enumeration Date 2011-06-29
Last Update Date 2018-09-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
28195388A IN Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
71008269A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers TERESA ROBERTS

NPI Name Taxonomy Address Enumeration
1326420233 Teresa Roberts Speech-Language Pathologist 3228 Se 59th Ave, Portland, OR 97206-2038 2015-06-26
1629466545 Teresa Roberts Registered Nurse 700 Childrens Dr, Columbus, OH 43205-2664 2014-12-30
1306273479 Teresa Gail Roberts Registered Nurse 8295 Tournament Dr Ste 150, Memphis, TN 38125-8900 2013-10-03
1427498211 Teresa Jean Roberts Specialist 1 Plaza South St, Tahlequah, OK 74464-4750 2013-06-26
1689963258 Teresa Roberts Social Worker 697 Louisiana Rd, Dyess Afb, TX 79607-1141 2011-04-04
1306040217 Teresa L Roberts Anesthesiology 111 Michigan Ave Nw, Washington, DC 20010-2916 2007-06-13
1124177886 Teresa Frances Roberts Occupational Therapy Assistant 143 Merrimon Ave, Asheville, NC 28801-1815 2007-01-10

Office Location

Street Address 909 E STATE BLVD
City FORT WAYNE
State IN
Zip Code 46805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689664419 Richard A Horstmeyer Family Medicine 909 E State Blvd, Fort Wayne, IN 46805-3404 2005-10-24
1174132674 Rachel Lee Taykowski Social Worker 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-07-30
1831708510 Alexandra Leroy Counselor 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-07-28
1881203560 Timothy James Prentice Counselor 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-07-28
1922617620 Elise S. Beech Social Worker 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-07-28
1457972481 David D Hibish Case Manager/Care Coordinator 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-04-30
1790317667 Jill Elizabeth Surine Counselor 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-02-10
1851923627 Emily Redman Counselor 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-02-10
1912537325 Estrella Devia Case Manager/Care Coordinator 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-01-24
1083252548 Amber Ginet O'daniels Counselor 909 E State Blvd, Fort Wayne, IN 46805-3458 2019-12-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033742184 Hamutyinei H Mamutse Nurse Practitioner 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 2020-02-18
1598395238 Werner R Wolff Nurse Practitioner 700 Broadway, Fort Wayne, IN 46802-1402 2020-01-22
1083255855 Melissa Ann Terry Nurse Practitioner 909 E State Blvd, Fort Wayne, IN 46805-3458 2019-10-03
1609437425 Sherri Sue Albertson Nurse Practitioner 2710 Lake Ave, Fort Wayne, IN 46805-5412 2019-06-24
1710347059 Krista Thornberry Nurse Practitioner 2200 Randallia Dr, Fort Wayne, IN 46805-4638 2016-02-29
1639103153 Irene T Hoover Nurse Practitioner 2200 Randallia Dr, Fort Wayne, IN 46805-4638 2006-07-10

Providers in the same taxonomy and state

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1548875669 Brooke Lavignette Nurse Practitioner 1805 Summit Dr, West Lafayette, IN 47906-2231 2020-09-15
1205444775 Anu Abraham Ade Owofadeju Nurse Practitioner 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 2020-07-21
1356959068 Indy Behavioral Health LLC Nurse Practitioner 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 2020-07-20
1942833306 Osasumwen Igbinoba Nurse Practitioner 402 Wall St Ste 23, Valparaiso, IN 46383-2567 2020-02-13
1770114118 Abbey Bolden Nurse Practitioner 929 Miller Ct, Greenfield, IN 46140-7267 2020-02-03
1376184556 Carrie Mefford Nurse Practitioner 5435 E 16th St, Indianapolis, IN 46218-4869 2019-09-30
1700430006 Lusine Vardanyan Nurse Practitioner Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 2019-07-25
1134780851 Eric Lyakhovetsky Nurse Practitioner 327 W Saidah Rd, Bloomington, IN 47404-8965 2019-06-24
1124599394 Adria Dawn Thornburgh Nurse Practitioner 6235 Forest View Dr, Indianapolis, IN 46260-4707 2018-12-16
1033693213 Katie Marie Feeney Nurse Practitioner Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 2018-09-24
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Competitor

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City FORT WAYNE
Zip Code 46805

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Dataset Information

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.

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