MRS. AMY FULLER ROBERTS (NPI# 1386754190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386754190 |
| Entity Type | Individual |
| Full Name | MRS. AMY FULLER ROBERTS |
| Credential | M.S.,L.P.C. |
| Practice Address |
1300 Austin Ave Suite 203 Waco TX 76701-1830 |
| Mailing Address |
118 Wolf Ln Waco TX 76705-6169 |
| Practice Telephone | 2547495953 |
| Practice Fax Number | 2548678206 |
| Mailing Telephone | 2548678206 |
| Mailing Fax Number | 2548678206 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
15750 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMPSYCH | 271732 | 01 | |
| TX | BLUE CROSS BLUE SHIELD TX | 7039LC | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780149856 | Amy Roberts | Licensed Vocational Nurse | 1906 Wellington Dr, Grand Prairie, TX 75051-3739 | 2019-02-04 |
| 1245711175 | Amy Lynn Roberts | Specialist | 170 Rosewood Ter, Cheektowaga, NY 14225-3014 | 2018-08-28 |
| 1093110397 | Amy Roberts | Registered Nurse | 601 E Jackson St, Hugo, OK 74743-4024 | 2014-10-29 |
| 1497165609 | Amy Catherine Roberts | Speech-Language Pathologist | 2237 Palisade Blvd, Dupont, WA 98327-9760 | 2014-04-28 |
| 1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
| 1215185459 | Amy Elaine Roberts | Psychologist | 5640 Cottingham Ln, Charlotte, NC 28211-4234 | 2008-08-29 |
| 1669642088 | Amy Brown Roberts | Nurse Practitioner | 409 York Street, Athens, TX 75751-7389 | 2008-03-03 |
| 1518094069 | Amy Michelle Roberts | Dentist | 300 Plaza Dr Ste 102, Highlands Ranch, CO 80129-2310 | 2007-02-28 |
| 1679641336 | Amy Lynn Roberts | Counselor | 1276 W River St, Boise, ID 83702-7066 | 2006-12-01 |
| 1003894775 | Amy Elizabeth Roberts | Family Medicine | 8888 Ladue Rd Ste 210, Saint Louis, MO 63124-2056 | 2006-01-04 |
| Street Address |
1300 AUSTIN AVE SUITE 203 |
| City | WACO |
| State | TX |
| Zip Code | 76701-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780005744 | Cenikor Foundation | Counselor | 900 Austin Avenue, Suite 1103, Waco, TX 76701 | 2013-12-18 |
| 1730412073 | Lauren Corinne Smith | Occupational Therapist | 900 Washington Avenue, Waco, TX 76701 | 2009-09-17 |
| 1750554093 | Juanita Castillo | Internal Medicine | 1226 Washington Avenue, Waco, TX 76701 | 2008-04-08 |
| 1306958426 | Daniel Ray Davis | Dentist | 2305 Austin, Waco, TX 76701 | 2006-08-31 |
| 1003886003 | Elite Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 2105 Franklin Ave, Waco, TX 76701 | 2006-01-24 |
| 1740680750 | Kayleigh Anderson | Counselor | 110 S 12th St, Waco, TX 76701 | 2014-08-27 |
| 1477821593 | Michelle Elizabeth Girard | Speech-Language Pathologist | 900 Washington Ave, Waco, TX 76701 | 2011-12-03 |
| 1871781302 | Robert Craig Rainey | Family Medicine | 1226 Washington Ave, Waco, TX 76701 | 2007-10-10 |
| 1407972581 | Sarah S. Allen | Marriage & Family Therapist | 110 S 12th St, Waco, TX 76701 | 2007-03-21 |
| 1730478777 | Garret Pool | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2011-03-30 |
| Find all providers in zip 76701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979401 | Ana Maria Matei | Counselor | 6515 Sanger Ave Ste 21, Waco, TX 76710-7806 | 2020-07-16 |
| 1649892423 | Miriam Paiva Pahim Karkle | Counselor | 2500 Colcord Ave, Waco, TX 76707-1911 | 2020-05-14 |
| 1326670993 | Courtney Coker | Counselor | 11947 Gholson Rd, Waco, TX 76705-5604 | 2020-02-11 |
| 1356973689 | Anna Lee Reynolds | Counselor | 4144 Riata Ranch Rd, Waco, TX 76705-3810 | 2020-02-05 |
| 1205481207 | Jennifer Nivin Williamson | Counselor | 1205 Thistle Park, Waco, TX 76706-7292 | 2019-08-06 |
| 1295292217 | Colby J Walters | Counselor | 3306 Cumberland Ave, Waco, TX 76707-1225 | 2019-02-26 |
| 1659878601 | Allison M Cornell | Counselor | 3233 Cole Ave, Waco, TX 76707-2536 | 2018-04-06 |
| 1700398187 | Sarah Thomas | Counselor | 3221 Franklin Ave Ste 302, Waco, TX 76710-7360 | 2017-10-25 |
| 1598295636 | Justine Lowrey | Counselor | 7111 Bosque Blvd Ste 102, Waco, TX 76710-4070 | 2017-06-12 |
| 1972039006 | Kate Ko | Counselor | 4555 Lake Shore Dr Ste B, Waco, TX 76710-1814 | 2017-05-10 |
| Find all providers in WACO | ||||
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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.