JENNIFER LYNN JORDT ROBERTS (NPI# 1235313818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235313818 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN JORDT ROBERTS |
| Practice Address |
1777 108th St Marengo IA 52301-8726 |
| Practice Telephone | 3193611468 |
| Mailing Telephone | 3193611468 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ARRT | 370199 | 01 |
| Street Address |
1777 108TH ST |
| City | MARENGO |
| State | IA |
| Zip Code | 52301-8726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659382596 | Terry Lee Babor | Dentist | 599 Eastern Ave, Marengo, IA 52301 | 2006-08-09 |
| 1134158934 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 1400 Harrison, Quincy, IL 52301 | 2006-07-02 |
| 1336182971 | Mark B. Irland | Family Medicine | 300 W. May St., Marengo, IA 52301 | 2006-06-13 |
| 1295724243 | Mark Allen Siebrecht | Podiatrist | 255 W. Lucas St., Marengo, IA 52301 | 2005-10-20 |
| 1184159378 | Katie Collingwood | Counselor | 398 W South St, Marengo, IA 52301-1231 | 2017-04-25 |
| 1043375132 | Marengo Memorial Hospital | Family Medicine | 300 W May St Ste A, Marengo, IA 52301-1261 | 2006-12-27 |
| 1285637835 | George Maurice Miller Jr. | Surgery | 300 W May St, Marengo, IA 52301-1261 | 2005-05-27 |
| 1548881519 | Riley Bradley | Physical Medicine & Rehabilitation | 300 W May St, Marengo, IA 52301-1261 | 2020-04-30 |
| 1841846383 | Dalton Boland | Physical Therapist | 300 W May St, Marengo, IA 52301-1261 | 2019-08-12 |
| 1639650013 | Andrew Marzocchi | Physical Therapy Assistant | 300 W May St, Marengo, IA 52301-1261 | 2018-08-23 |
| Find all providers in zip 52301 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942741152 | Amy Ockenfels | Radiologic Technologist | 1360 Marak Rd Nw, Swisher, IA 52338-9575 | 2017-03-20 |
| 1043624083 | Lacey Jo Lake | Radiologic Technologist | 2114 Pinefield St, Muscatine, IA 52761-2553 | 2014-06-18 |
| 1255629499 | Jeffrey Micah Kreyling | Radiologic Technologist | 5108 Lower Beaver, Des Moines, IA 50310-4348 | 2011-07-20 |
| 1528680071 | Sarah Sorsen | Radiologic Technologist | 1301 Summit St, Marshalltown, IA 50158-5484 | 2020-05-07 |
Please comment or provide details below to improve the information on JENNIFER LYNN JORDT 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.