MS. SHAWN ADELE ROBERTS (NPI# 1295878429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295878429 |
| Entity Type | Individual |
| Full Name | MS. SHAWN ADELE ROBERTS |
| Credential | MS FNP |
| Practice Address |
950 E Bogard Rd Suite 103 Wasilla AK 99654-7184 |
| Mailing Address |
22626 Lake Hill Dr. Chugiak AK 99567 |
| Practice Telephone | 9073522880 |
| Practice Fax Number | 9073522885 |
| Mailing Telephone | 9074406450 |
| Mailing Fax Number | 9076888453 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2013-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
166 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 0166-02 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114496692 | Shawn D Roberts | Behavior Technician | 8 Wildwood Ln, Palm Coast, FL 32137-3221 | 2018-11-14 |
| 1164407524 | Shawn Anthony Roberts | Surgery | 318 East Main Street, Central Lakes Medical Clinic Pa, Crosby, MN 56441-1691 | 2005-12-08 |
| 1629632187 | Shawn Douglas Roberts | Psychologist | 910 Sw E Ave, Lawton, OK 73501-4593 | 2019-04-30 |
| Street Address |
950 E BOGARD RD SUITE 103 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831188473 | Laura Jean Peterson | Pediatrics | 950 E Bogard Rd, Ste 233, Wasilla, AK 99654-7184 | 2005-10-17 |
| 1801314927 | Tracie East | Physical Therapist | 950 E Bogard Rd, Wasilla, AK 99654-7184 | 2017-09-08 |
| 1346776150 | Patricia B Payne | Nurse Practitioner | 950 E Bogard Rd, Suite #228, Wasilla, AK 99654-7184 | 2017-05-11 |
| 1578928628 | Gagnon Plastic and Reconstructive Surgery | Plastic Surgery | 950 E Bogard Rd, Suite 209, Wasilla, AK 99654-7184 | 2015-12-16 |
| 1659700292 | Hillary Ryan Linden | Physician Assistant | 950 E Bogard Rd, Suite 103, Wasilla, AK 99654-7184 | 2013-11-04 |
| 1578995304 | Mat-su Neurology, LLC | Clinic/Center | 950 E Bogard Rd, Suite 213, Wasilla, AK 99654-7184 | 2013-08-03 |
| 1114269313 | Odland Family Practice Clinic, LLC | Family Medicine | 950 E Bogard Rd, Suite 234, Wasilla, AK 99654-7184 | 2013-03-26 |
| 1619212479 | Janet L Shelley | Nurse Practitioner | 950 E Bogard Rd, Suite 233, Wasilla, AK 99654-7184 | 2012-12-05 |
| 1366752560 | Mat-su Valley IIi LLC | Internal Medicine | 950 E Bogard Rd, Suite 207, Wasilla, AK 99654-7184 | 2010-10-21 |
| 1700013570 | David Dwight Buckland | Psychiatry & Neurology | 950 E Bogard Rd, Suite 213, Wasilla, AK 99654-7184 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787363 | Naomi Tonje Johnson | Nurse Practitioner | 5428 E Rebecca Nicole St Unit C, Wasilla, AK 99654-0002 | 2020-03-27 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1104251990 | Kirsten D Larson | Nurse Practitioner | 2730 W Stonebluff Dr, Wasilla, AK 99654-9442 | 2013-09-11 |
| 1366731218 | Sarah Elizabeth Nielsen | Nurse Practitioner | 2341 S Fern St Ste 300, Wasilla, AK 99654-8589 | 2011-03-31 |
| 1679806137 | Vanessa Darnell | Nurse Practitioner | 351 W Parks Hwy, Ste 100, Wasilla, AK 99654-6920 | 2009-09-15 |
| 1407878259 | Kathleen J Matthews | Nurse Practitioner | 491 N Knik St, Wasilla, AK 99654-7049 | 2006-07-24 |
| 1497770903 | Sandra K. Spencer | Nurse Practitioner | 545 N Knik St, Wasilla, AK 99654-7022 | 2006-07-13 |
| 1366058224 | Jesse Faye Cooper | Nurse Practitioner | 2341 S Fern St Ste 300, Wasilla, AK 99654-8627 | 2020-09-16 |
| 1134733157 | Christine Marie Michel | Nurse Practitioner | 1700 E Parks Hwy, Wasilla, AK 99654-7352 | 2020-09-08 |
| 1932744836 | Altair Integrative Wellness | Nurse Practitioner | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2019-11-14 |
| Find all providers in WASILLA | ||||
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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.