MS. MARY JACQUELINE ROBERTS (NPI# 1609150598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609150598 |
| Entity Type | Individual |
| Full Name | MS. MARY JACQUELINE ROBERTS |
| Credential | APRN, FNP |
| Practice Address |
1331 Christy Ave #1 Louisville KY 40204-2038 |
| Practice Telephone | 5025833293 |
| Mailing Telephone | 5025833293 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007173 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750856365 | Mary Morgan Roberts | Counselor | 2104 Rocky Ridge Rd, Vestavia Hills, AL 35216-5138 | 2018-10-10 |
| 1154809127 | Mary Katherine Roberts | Registered Nurse | 10408 Jackson Oaks Way, Knoxville, TN 37922-3293 | 2018-08-01 |
| 1245779479 | Mary Elizabeth Roberts | Dentist | 8 Laurel Hill Dr, Randolph, NJ 07869-4627 | 2017-02-21 |
| 1225424732 | Mary Roberts | Massage Therapist | 2310 Hwy 94 S Outer Rd, Saint Charles, MO 63303-8301 | 2015-04-10 |
| 1942627468 | Mary Heather Roberts | Occupational Therapist | 13033 Se Holgate Blvd, Portland, OR 97236-3913 | 2014-03-21 |
| 1417373960 | Mary Roberts | Counselor | 1659 Layton Rd, Freeland, WA 98249 | 2014-03-07 |
| 1801149299 | Mary Danielson Roberts | Marriage & Family Therapist | 3150 Pio Pico Dr Ste 105, Carlsbad, CA 92008-1951 | 2012-10-22 |
| 1295085751 | Mary Geralyn Roberts | Registered Nurse | 7239 N River Rd, West Bend, WI 53090-1216 | 2012-09-12 |
| 1972736114 | Mary Roberts | Social Worker | 119 Hendersonville Rd., Asheville, NC 28803 | 2009-09-03 |
| 1386808848 | Mary Ellen Roberts | Social Worker | 1612 Nw 184th St, Edmond, OK 73012-0607 | 2008-07-14 |
| Street Address |
1331 CHRISTY AVE #1 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40204-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
| 1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
| 1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
| 1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
| 1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
| 1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
| 1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
| 1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
| 1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
| Find all providers in zip 40204 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40204 |
Please comment or provide details below to improve the information on MS. MARY JACQUELINE 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.