MRS. KELLY M ROBERTS


Address: 555 W Pine Street, Farmington, MO 63640
Phone: 5737471510

MRS. KELLY M ROBERTS (NPI# 1568912129) 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) 1568912129
Entity Type Individual
Full Name MRS. KELLY M ROBERTS
Credential FNP-C
Practice Address 555 W Pine Street
Farmington
MO 63640
Mailing Address 555 W Pine St
Farmington
MO 63640-1439
Practice Telephone 5737471510
Practice Fax Number 5737471512
Mailing Telephone 5737471510
Mailing Fax Number 5737471512
Enumeration Date 2016-10-07
Last Update Date 2017-02-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2016034715 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 1568912129 05

Other Providers KELLY ROBERTS

NPI Name Taxonomy Address Enumeration
1679090534 Kelly Roberts Social Worker 2520 Hampton Rd Ste 18, Erie, PA 16502-2073 2017-08-23
1912353160 Kelly Roberts Peer Specialist 405 Ne Avondale Ave, Bartlesville, OK 74006-1702 2016-05-06
1861893075 Kelly C. Roberts Specialist/Technologist 7676 Canberra Way, Riverside, CA 92508-6048 2014-09-07
1992024152 Kelly Roberts Psychologist 5648 William Penn Hwy, Export, PA 15632 2010-05-26
1477706109 Kelly S Roberts Occupational Therapist 25 Van Buren St, Albany, NY 12206-1222 2008-10-26
1508908617 Kelly F Roberts Social Worker 704 North Hwy 64, Manteo, NC 27954 2007-02-13
1396768719 Kelly M Roberts Audiologist 119 Se Wilson Ave, Bend, OR 97702-1714 2006-07-26
1699382465 Kelly Roberts Student in an Organized Health Care Education/Training Program 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 2020-09-25
1609410133 Kelly Elizabeth Roberts Speech-Language Pathologist 52 3rd Ave, Brentwood, NY 11717-4651 2019-10-28
1538611934 Kelly Roberts Nurse Practitioner 3727 Friendsville Rd, Unit 200, Wooster, OH 44691-7131 2016-11-01

Office Location

Street Address 555 W PINE STREET
City FARMINGTON
State MO
Zip Code 63640

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316545254 Brenda S Halton Nurse Practitioner 1010 West Columbia Street, Farmington, MO 63640 2020-10-13
1619519089 Stacey Nicole Gillette Counselor 17885 Hart Pinkston Rd, Farmington, MO 63640 2019-10-17
1346890696 Christopher Ryan Massey Social Worker 607 Pine St., Farmington, MO 63640 2019-09-18
1457909376 Clarice Ogden Social Worker 203 South Washington Street, Farmington, MO 63640 2019-09-04
1861979718 Clint Thebeau In Home Supportive Care 1276 W Liberty St, Farmington, MO 63640 2018-07-24
1023500600 Lynn Machelle Knox Counselor 219 W Columbia St, Farmington, MO 63640 2018-05-31
1235620576 Kim Bazzell Registered Nurse 1565 Ste. Genevieve Ave., Farmington, MO 63640 2018-05-22
1164919742 Lincare Inc. Durable Medical Equipment & Medical Supplies 774 Market St, Farmington, MO 63640 2018-04-18
1184127813 Michelle Lynette Corvallis Chiropractor 17 South Franklin St., Farmington, MO 63640 2018-03-08
1992206213 Farmington Vision Care LLC Optometrist 110 E Harrison St, Farmington, MO 63640 2018-02-22
Find all providers in zip 63640

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508466368 Amalia Jo Folland Harvey Nurse Practitioner 19883 Evensong Ct, Farmington, MN 55024-8688 2020-10-29
1356957179 Jared Kunz Nurse Practitioner 635 Braning Dr, Farmington, MO 63640-7783 2020-09-17
1700427382 Jessinna Nielson Nurse Practitioner 722 Shepard Ln Ste 102, Farmington, UT 84025-3845 2019-10-04
1831744200 Rachelle Andersen Spurlin Nurse Practitioner 359 Frontier Rd, Farmington, UT 84025-2613 2019-08-02
1033770698 Tiffany Otto Nurse Practitioner 27o Farmington Avenue, # 309, Farmington, CT 06032 2019-06-25
1164980181 Adam Thomas Creer Nurse Practitioner 696 N 40 E Apt 2, Farmington, UT 84025 2019-03-08
1235627936 Swayzee Lei Ramage Nurse Practitioner 4801 N Butler Ave Ste 8102, Farmington, NM 87401-0818 2018-04-27
1306345368 Joy Wolfe Nurse Practitioner 850 Maple Valley Drive, Farmington, MO 63640 2018-02-06
1518482769 Million B Mesfun Nurse Practitioner 4405 Atlantic St, Farmington, NM 87402-1750 2017-08-09
1225410624 Jennifer Murdza Nurse Practitioner 22611 Brookdale St, Farmington, MI 48336-4119 2015-06-22
Find all providers in FARMINGTON

Competitor

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City FARMINGTON
Zip Code 63640

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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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