JUDITH ROBERTS


Address: 1300 South Dr., Winnebago, WI 54985-0009
Phone: 9202354910

JUDITH ROBERTS (NPI# 1558687699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558687699
Entity Type Individual
Full Name JUDITH ROBERTS
Credential MS, RN
Practice Address 1300 South Dr.
Winnebago
WI 54985-0009
Mailing Address 1300 South Drive
Winnebago
WI 54985
Practice Telephone 9202354910
Practice Fax Number 9202372044
Mailing Telephone 9202354910
Mailing Fax Number 9202372044
Enumeration Date 2010-04-14
Last Update Date 2017-03-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
13198930 WI Nursing Service Providers

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Office Location

Street Address 1300 SOUTH DR.
City WINNEBAGO
State WI
Zip Code 54985-0009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639239486 Maria L Baldomero Psychiatry & Neurology 1300 South Dr., Winnebago Mental Health Institute, Winnebago, WI 54985-0009 2006-12-11
1225214802 Dara B. Sitter Pharmacist 1300 South Dr., Winnebago, WI 54985 2008-01-14
1700948502 Jeri A Nelson Pediatrics 1300 South Dr., Winnebago, WI 54985-0009 2006-12-15
1619039419 Felipe M Ambas Psychiatry & Neurology 1300 South Dr., Winnebago, WI 54985-0009 2006-12-15
1376603985 James L Basiliere Internal Medicine 1300 South Dr., Winnebago Mental Health Institute, Winnebago, WI 54985-0009 2006-12-12
1083774830 Bruce E Weffenstette Psychiatry & Neurology 1300 South Dr., Winnebago, WI 54985-0009 2006-12-11
1891855649 Raul M Dejesus Psychiatry & Neurology 1300 South Dr., Winnebago, WI 54985-0009 2006-12-11
1699835447 Chong T Arong Psychiatry & Neurology 1300 South Dr., Winnebago, WI 54985-0009 2006-12-11
1962562710 Milagros R Cuaresma-ambas Psychiatry & Neurology 1300 South Dr., Winnebago, WI 54985-0009 2006-12-11
1871653626 James A Richter Psychiatry & Neurology 1300 South Dr., Winnebago, WI 54985-0009 2006-12-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437315538 Emerald M Hauser Student in an Organized Health Care Education/Training Program 1300 South Treffert Drive, Winnebago, WI 54985 2008-07-29
1427231828 Carlo Gallo Gaanan Family Medicine 1505 North Drive, Winnebago, WI 54985 2007-12-10
1588781488 Paul J Barfknecht Pharmacist 1300 South Dr, Winnebago, WI 54985 2007-03-23
1265924161 Jeremiah Mobisa Gwaro Nurse Practitioner 1505 North Drive, Winnebago, WI 54985 2018-06-06
1932630985 Thomas Michlowski Psychiatry & Neurology 1505 North Drive, Winnebago, WI 54985 2017-03-22
1295094571 Julie Ann Thiel Pharmacist 1505 North Drive, Winnebago, WI 54985 2012-05-08
1992028948 Kaye Zwiacher Psychiatry & Neurology 1300 South Drive, Winnebago, WI 54985 2010-03-04
1669627089 Anthony M Lichtfuss Social Worker 1300 South Drive, Winnebago, WI 54985 2008-11-26
1124270947 Adam Matthew Berman Psychologist 2901 W Kinnickinnic River Parkway, Ste 516 Medical Psychology Association, Milwaukee, WI 54985 2008-10-13
1083825608 Kelly Lee Straus-diedrick Physical Therapist 725 Butler Ave, Winnebago, WI 54985 2007-05-25
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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1861807877 Loretta Shem Registered Nurse 499 Manning Way, Lake Geneva, WI 53147-2084 2014-06-27
1326396342 Kristen H. Bachman Registered Nurse 5946 N Bay Ridge Ave, Milwaukee, WI 53217-4603 2012-08-23
1710073218 Kathy D Cox Registered Nurse Twin Ports Clinic Va, 3520 Tower Ave., Superior, WI 54880 2006-10-04
1952413122 Carol A Estherchild Registered Nurse 9455 W. Watertown Plank Road, Milwaukee County Behavioral Health Division, Milwaukee, WI 53226-3559 2006-08-31
1073548327 Mary Katherine Cefalu Registered Nurse 17 S. River, Suite 254, Janesville, WI 53548 2006-07-12
1083688295 Staci S O'dell Registered Nurse Healthcare for The Homeless of Milwaukee, Inc, 210 West Capitol Drive, Milwaukee, WI 53212 2006-02-14
1457950263 Theresa Scheuermann Registered Nurse 802 E Gorham St, Madison, WI 53703-1524 2020-10-22
1194339424 Ace Mentality Registered Nurse 2810 Crossroads Dr Ste 4000, Madison, WI 53718-8014 2020-09-03
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Competitor

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City WINNEBAGO
Zip Code 54985

Improve Information

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Dataset Information

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.

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