MRS. CONNIE SUE ROBERTS (NPI# 1609111327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609111327 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE SUE ROBERTS |
| Practice Address |
2953 Lindale Ave Dayton OH 45414-5520 |
| Practice Telephone | 9376577015 |
| Mailing Telephone | 9376577015 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | 376J00000X | OH | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ODJFS MEDICAID PROVIDER NUMBER | 2883456 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223143 | Connie J Roberts | Technician | 1079 Lovada Rd, Big Bend, WV 26136-8065 | 2020-07-24 |
| 1043322597 | Connie Jane Roberts | Nurse Practitioner | 300 West Carroll Street, Salisbury, MD 21801 | 2006-08-31 |
| 1205069887 | Connie Lynn Roberts | Social Worker | 2950 Sw Woodside Dr, Topeka, KS 66614-5326 | 2009-08-28 |
| 1205052685 | Connie Roberts | Specialist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2007-04-17 |
| 1801911755 | Connie L. Roberts | Nurse Practitioner | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2007-03-20 |
| 1730262452 | Connie Mcclure Roberts | Registered Nurse | 35 Woodfin St, Asheville, NC 28801-3020 | 2006-10-24 |
| 1467536953 | Connie Sue Roberts | Obstetrics & Gynecology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-10-24 |
| 1336155209 | Connie Lee Roberts | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2006-07-31 |
| 1437195195 | Connie Allene Roberts | Physical Therapist | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2006-06-21 |
| Street Address |
2953 LINDALE AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45414-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047916 | Amanda Adkins | Counselor | 4977 Northcutt Pl, Dayton, OH 45414 | 2018-09-21 |
| 1477062180 | Andria Shoebridge | Case Manager/Care Coordinator | 7695 Poe Ave., Dayton, OH 45414 | 2017-09-26 |
| 1164826871 | Joana's | Custodial Care Facility | 323 Timberlake Drive, Dayton, OH 45414 | 2014-10-09 |
| 1376956839 | Shanata Rankins | Home Health Aide | 3252 Ridge Ave, Dayton, OH 45414 | 2014-06-03 |
| 1689086845 | Michelle Laree Cargle-adams | Licensed Practical Nurse | 6217 Miller Lane, Vandalia, OH 45414 | 2014-05-22 |
| 1962847236 | Tessa Skeens | Home Health | 1914 Palisades Dr, Dayton, OH 45414 | 2013-05-01 |
| 1053661397 | Jeffrey Michael Pope | Pharmacist | 3700 North Dixie Highway, Dayton, OH 45414 | 2012-09-13 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1265709885 | Eddie Dudley | Pharmacist | 5651 Dixie Ave, Dayton, OH 45414 | 2011-11-28 |
| 1568774743 | Martin Nicholas Kanetsky | Dentist | 6800 N. Dixie Dr., Dayton, OH 45414 | 2010-07-05 |
| Find all providers in zip 45414 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467135 | Nancy Fratini | Homemaker | 5316 Split Rail, Dayton, OH 45429-1963 | 2020-11-02 |
| 1679173355 | Anna Guajardo | Homemaker | 420 Grove Ave, Dayton, OH 45404-1912 | 2020-10-30 |
| 1346840642 | Sara A Llanas | Homemaker | 1716 Meriline Ave, Dayton, OH 45410-3439 | 2020-10-27 |
| 1851990527 | Emadene Healthcare LLC | Homemaker | 306 Crystal Point Dr, Dayton, OH 45459-4167 | 2020-10-22 |
| 1306444344 | Alex Wilker | Homemaker | 320 Mertland Ave, Dayton, OH 45431-1829 | 2020-10-12 |
| 1053918250 | Jack Rowland Doub | Homemaker | 3512 Honeybrook Ave, Dayton, OH 45415-1545 | 2020-10-01 |
| 1447866728 | Jessica Patricia Mckelvey | Homemaker | 117 Meyer Ave, Dayton, OH 45431-1948 | 2020-09-22 |
| 1922614114 | Lashell Barber | Homemaker | 3737 Brumbaugh Blvd, Dayton, OH 45416-1546 | 2020-09-22 |
| 1205441508 | Toni M Gardner | Homemaker | 2450 Wyoming St Apt C, Dayton, OH 45410-2937 | 2020-09-14 |
| 1447865902 | Samantha Lynn Fox | Homemaker | 3912 White Spruce Cir, Dayton, OH 45424-4888 | 2020-09-11 |
| Find all providers in DAYTON | ||||
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| 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.