DANA ROBERTS (NPI# 1457706913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457706913 |
| Entity Type | Individual |
| Full Name | DANA ROBERTS |
| Credential | NP |
| Practice Address |
2173 Main St Madison MS 39110-6309 |
| Practice Telephone | 6016055838 |
| Mailing Telephone | 6016053858 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
895337 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06473768 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17280 Highway 17, Lexington, MS 390956614 | 6628341857 | 6628341859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267726 | Dana Roberts | Registered Nurse | 28375 Davis Pkwy Ste 903, Warrenville, IL 60555-3030 | 2019-10-27 |
| 1144250408 | Dana K Roberts | Specialist/Technologist | 5300 Pacific Ave Se, Lacey, WA 98503-7500 | 2006-07-03 |
| 1447875265 | Dana N Roberts | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-06-09 |
| 1407417827 | Dana Michelle Roberts | Behavior Technician | 4100 194th St Sw Ste 100, Lynnwood, WA 98036-4613 | 2019-06-26 |
| 1447529540 | Dana Roberts | Speech-Language Pathologist | 638 Brandywine Pkwy, West Chester, PA 19380-4278 | 2011-12-19 |
| Street Address |
2173 MAIN ST |
| City | MADISON |
| State | MS |
| Zip Code | 39110-6309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989336 | Saundra K. Henry | Nurse Practitioner | 2173 Main St, Madison, MS 39110 | 2005-11-20 |
| 1023555190 | Stephanie Keith | Physician Assistant | 2173 Main St, Madison, MS 39110-6309 | 2017-01-26 |
| 1306191754 | Medical Foundation of Central Ms | Family Medicine | 2173 Main St, Madison, MS 39110-6309 | 2012-07-20 |
| 1942400403 | Ashley Burleson Pullen | Family Medicine | 2173 Main St, Madison, MS 39110-6309 | 2007-07-23 |
| 1700896263 | Lewis Dubard Johnston | Family Medicine | 2173 Main St, Madison, MS 39110-6309 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424468 | Rachel Gallagher | Nurse Practitioner | 822 E Washington Ave, Madison, WI 53703-6500 | 2020-07-10 |
| 1932728177 | Cori Barkei | Nurse Practitioner | 3128 Limekiln St, Madison, WI 53719-2573 | 2020-04-08 |
| 1265075626 | Maria Rachuonyo | Nurse Practitioner | 165 Chestnut Dr, Madison, AL 35758-9524 | 2019-10-17 |
| 1548821333 | Sumner B Douglas | Nurse Practitioner | 401 Baptist Dr Ste 1040, Madison, MS 39110-2009 | 2019-06-24 |
| 1942865365 | Marta Cooper | Nurse Practitioner | 579 Donofrio Dr Ste 1, Madison, WI 53719-2838 | 2019-05-02 |
| 1215490024 | Angela Wiggins | Nurse Practitioner | 1210 Briarville Rd Bldg B, Madison, TN 37115-5136 | 2019-04-09 |
| 1124585419 | Melissa Kay Albright | Nurse Practitioner | 44 Hughes Rd Ste 2500, Madison, AL 35758-3026 | 2019-02-22 |
| 1912475393 | Katlynn Ann Kelley | Nurse Practitioner | 20 S Park St Rm M417, Madison, WI 53715-1348 | 2018-11-05 |
| 1053887943 | Denita Ward | Nurse Practitioner | 2145 Fox Ave, Madison, WI 53711-1920 | 2018-10-17 |
| 1992203079 | Brandy J Smith | Nurse Practitioner | 703 Green Rd Ste 1, Madison, IN 47250-2145 | 2018-01-24 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on DANA 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.