NICOLETTE RONAYE ROBERTS (NPI# 1467638627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467638627 |
| Entity Type | Individual |
| Full Name | NICOLETTE RONAYE ROBERTS |
| Practice Address |
218 Pokegama Ave N Grand Rapids MN 55744 |
| Practice Telephone | 2183269453 |
| Practice Fax Number | 2183269453 |
| Mailing Telephone | 2183269453 |
| Mailing Fax Number | 2183269453 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2013-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 20050045 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMMA | 20050045 | 01 |
| Street Address |
218 POKEGAMA AVE N |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295348092 | Michael Allen Vaneerden | Massage Therapist | 1359 Emerald Ave Ne, Grand Rapids, MI 49505-5226 | 2020-08-31 |
| 1972113983 | Mary Beth Holtz | Massage Therapist | 3355 Eagle Park Dr Ne Ste 107, Grand Rapids, MI 49525-7004 | 2020-08-04 |
| 1689282824 | Annemarie Hazzard-pryor | Massage Therapist | 2050 Breton Rd Se Ste 109, Grand Rapids, MI 49546-5547 | 2020-07-14 |
| 1699308890 | Brenda Kay Purchase | Massage Therapist | 5300 Northland Dr Ne Ste F, Grand Rapids, MI 49525-1058 | 2020-02-16 |
| 1023586542 | Kayla Lynne Pettit | Massage Therapist | 435 Cherry St Se # B, Grand Rapids, MI 49503-4672 | 2018-11-02 |
| 1881160422 | Erica Kate Snay | Massage Therapist | 435 Cherry St Se Ste B, Grand Rapids, MI 49503-4672 | 2018-10-22 |
| 1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
| 1902359706 | Cynthia Marie Thorson | Massage Therapist | 2184 Saginaw Rd Se, Grand Rapids, MI 49506-5446 | 2016-07-27 |
| 1316391477 | Kylin Mary-elizabeth Cronkhite | Massage Therapist | 710 Morris Ave Se, Apt #1, Grand Rapids, MI 49503-5324 | 2016-04-14 |
| 1992164180 | Sarita Gibbons | Massage Therapist | 1057 Bridge St Nw, Grand Rapids, MI 49504-5061 | 2016-02-16 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
Please comment or provide details below to improve the information on NICOLETTE RONAYE 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.