MRS. MARILYN MARGARET ROBERTS (NPI# 1528392941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528392941 |
| Entity Type | Individual |
| Full Name | MRS. MARILYN MARGARET ROBERTS |
| Credential | PA-C |
| Practice Address |
Crhc 24276 166th St, Airport Rd Eagle Butte SD 57625-1012 |
| Mailing Address |
Cheyenne River Health Center 24276 166th St, Airport Rd Eagle Butte SD 57625-1012 |
| Practice Telephone | 6059647724 |
| Mailing Telephone | 6059647724 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2020-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA20483 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811463490 | Marilyn Nichole Moulton Roberts | Physician Assistant | 121 N 20th St Ste 7, Opelika, AL 36801-5459 | 2018-10-22 |
| 1033576525 | Marilyn Roberts | Nurse Practitioner | 375 N Eastown Rd Ste C, Lima, OH 45807-2209 | 2016-01-28 |
| 1568809671 | Marilyn Roberts | Licensed Practical Nurse | 13 Cleveland St, Valley Stream, NY 11580-6003 | 2013-05-30 |
| 1740554385 | Marilyn Ruth Roberts | Social Worker | 4422 General Meyer Ave, New Orleans, LA 70131-3588 | 2012-02-29 |
| 1720393531 | Marilyn Roberts | Registered Nurse | 851 Nw 45th St, Kansas City, MO 64116-4628 | 2010-08-17 |
| 1124275276 | Marilyn Roberts | Radiologic Technologist | 8283 Grove Ave, Suite 101, Rancho Cucamonga, CA 91730-3137 | 2008-08-20 |
| 1043254527 | Marilyn Catherine Roberts | Counselor | 500 W Lanier Ave, Suite 508, Fayetteville, GA 30214-7636 | 2006-06-15 |
| Street Address |
CRHC 24276 166TH ST, AIRPORT RD |
| City | EAGLE BUTTE |
| State | SD |
| Zip Code | 57625-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998359 | Jill M Marshall | Registered Nurse | 24279 166th St. Airport Road, Eagle Butte, SD 57625 | 2020-06-29 |
| 1871110890 | Stephen Andrew Williams | Registered Nurse | 24767 166th St, Eagle Butte, SD 57625 | 2020-06-26 |
| 1730706706 | Shannon Renee Brautigan | Registered Nurse | 24276 166th Street Airport Rd., Eagle Butte, SD 57625 | 2020-06-25 |
| 1598327827 | Lucy Manu | Pharmacist | 24276 166th Street; Airport Road, Eagle Butte, SD 57625 | 2019-07-08 |
| 1518429539 | Lisa Marie Brower | Registered Nurse | 24276 166th Street, Airport Rd., Eagle Butte, SD 57625 | 2019-04-01 |
| 1063976025 | Jeff Dixon | Pharmacist | Cheyenne River Health Center 24276 Airport Rd., 166th S, Eagle Butte, SD 57625 | 2019-01-24 |
| 1619455540 | Alycia Oster | Registered Nurse | 24276 166th St Airport Rd, Eagle Butte, SD 57625 | 2018-08-02 |
| 1447765987 | Deidra Monique Hall | Nurse's Aide | 211 S Spiel Court, Eagle Butte, SD 57625 | 2017-12-06 |
| 1295271070 | Cree Iron Cloud | Registered Nurse | #24276 Airport Rd, Eagle Butte, SD 57625 | 2017-01-17 |
| 1922452531 | Holly Mattern | Registered Nurse | 24276 166th Street Airport Rd, Eagle Bute, SD 57625 | 2016-04-20 |
| Find all providers in zip 57625 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629145032 | Valarie L Brown | Physician Assistant | 8000 E Hwy 212, Eagle Butte, SD 57625-0860 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831595545 | Kayla Weisbeck | Physician Assistant | 200 E Havens Ave, Mitchell, SD 57301-0432 | 2014-11-06 |
| 1306269287 | Prairie Community Health Inc. | Physician Assistant | 223 A Street, Dupree, SD 57623-9999 | 2014-01-28 |
| 1255516324 | Harding County Healthcare LLC | Physician Assistant | 209 Ramsland Street, Buffalo, SD 57720-0182 | 2008-01-08 |
| 1790972719 | Angela Blane Chambers | Physician Assistant | 161 S Main St., Mission, SD 57555 | 2007-10-03 |
| 1649348590 | Richard Dunn | Physician Assistant | Pine Ridge Hospital East Highway 18, Pine Ridge, SD 57770-1201 | 2006-11-30 |
| 1649368960 | Gary Neil Wurgler | Physician Assistant | 47226 S Rhonda Ave, Sioux Falls, SD 57108 | 2006-10-11 |
| 1558464446 | Douglas County Memorial Hospital | Physician Assistant | 301 Main Street, Stickney, SD 57375-0014 | 2006-09-06 |
| 1760493811 | Renette Lynne Kroupa | Physician Assistant | Hwy 34/47, Fort Thompson, SD 57339 | 2006-08-11 |
| 1356375992 | Ruth M Thomas | Physician Assistant | Soldier Creek Road,box 400, Rosebud Indian Health Service Hospital, Rosebud, SD 57570-0400 | 2006-07-10 |
| 1336196310 | Leola Mae Lyon | Physician Assistant | 809 Jackson St, Burke, SD 57523-2065 | 2006-05-27 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE BUTTE |
| Zip Code | 57625 |
Please comment or provide details below to improve the information on MRS. MARILYN MARGARET 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.