JENNIFER L ROBERTS (NPI# 1366484214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366484214 |
| Entity Type | Individual |
| Full Name | JENNIFER L ROBERTS |
| Credential | PA-C |
| Practice Address |
836 Sunset Lake Blvd 205 A Venice FL 34292-7554 |
| Practice Telephone | 9414851505 |
| Practice Fax Number | 9414857495 |
| Mailing Telephone | 9414851505 |
| Mailing Fax Number | 9414857495 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2015-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9102029 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 291421200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628639 | Jennifer Roberts | Speech-Language Pathologist | 9215 Middlebrook Pike Ste 600, Knoxville, TN 37931-4740 | 2020-01-08 |
| 1801440581 | Jennifer Roberts | Speech-Language Pathologist | 2602 Chimney Springs Dr, Marietta, GA 30062-6317 | 2019-07-30 |
| 1699239699 | Jennifer Roberts | Social Worker | 157 Kings Dr, Monaca, PA 15061-2541 | 2019-01-24 |
| 1962947945 | Jennifer Anne Roberts | Physical Therapist | 3197 Stuart Way, Napa, CA 94558-3456 | 2016-12-29 |
| 1932564523 | Jennifer Roberts | Behavioral Analyst | 101 Blassingame Ct, Wilburton, OK 74578 | 2015-12-23 |
| 1649684416 | Jennifer Danice Roberts | Speech-Language Pathologist | 232 Jetta Cir, Mcdonough, GA 30253-4904 | 2014-06-19 |
| 1962740860 | Jennifer Paige Roberts | Psychologist | 4109 Converse Dr, Raleigh, NC 27609-5933 | 2013-01-28 |
| 1568700144 | Jennifer Neill Roberts | Registered Nurse | 4920 Meadow Run Dr, Hilliard, OH 43026-7162 | 2013-01-16 |
| 1043584741 | Jennifer M Roberts | Physical Therapist | 107 Marywood Dr, High Point, NC 27265-2003 | 2012-02-28 |
| 1194019471 | Jennifer Roberts | Pharmacist | 7437 S Olympia Ave, T-2357, Tulsa, OK 74132-1838 | 2011-06-04 |
| Street Address |
836 SUNSET LAKE BLVD 205 A |
| City | VENICE |
| State | FL |
| Zip Code | 34292-7554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295726933 | Paul W. Gonter | Internal Medicine | 836 Sunset Lake Blvd, Suite 101, Venice, FL 34292-7554 | 2005-11-02 |
| 1992971717 | Venice Orthopaedics, P.a. | Orthopaedic Surgery | 836 Sunset Lake Blvd, Suite 102, Venice, FL 34292-7554 | 2008-05-01 |
| 1275707382 | William Jeffrey Fields | Dentist | 836 Sunset Lake Blvd, Suite 202, Venice, FL 34292-7554 | 2008-04-18 |
| 1780883892 | Alan Richard Maurer | Orthopaedic Surgery | 836 Sunset Lake Blvd, Suite 102, Venice, FL 24292-7555 | 2007-07-18 |
| 1114129236 | David Chan | Orthopaedic Surgery | 836 Sunset Lake Blvd, Suite 205 A, Venice, FL 34292 | 2007-06-01 |
| 1528269917 | Andres O Soriano | Internal Medicine | 836 Sunset Lake Blvd, Suite 101, Venice, FL 34292-7554 | 2007-05-31 |
| 1225192339 | Amy Louise Ladehoff | Physical Therapist | 836 Sunset Lake Blvd, Suite 201, Venice, FL 34292-7554 | 2006-12-21 |
| 1003970385 | Timi Jean Barletta | Physical Therapist | 836 Sunset Lake Blvd, Suite 201, Venice, FL 34292-7554 | 2006-12-20 |
| 1730242405 | Richard Barletta | Physical Therapist | 836 Sunset Lake Blvd, Suite 201, Venice, FL 34292-7554 | 2006-12-18 |
| 1154484830 | Anthony John Fus Jr. | Physical Therapist | 836 Sunset Lake Blvd, Suite 201, Venice, FL 34292-7554 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| Find all providers in zip 34292 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154435857 | Candace P Schuierer | Physician Assistant | 706 The Rialto, Venice, FL 34285-3524 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| 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.