MS. REBECCA L ROBERTS (NPI# 1619123478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619123478 |
| Entity Type | Individual |
| Full Name | MS. REBECCA L ROBERTS |
| Credential | CNP,CDE |
| Practice Address |
136 S Ludlow St Fl. 1 Dayton OH 45402-1813 |
| Mailing Address |
400 Sugar Camp Cir Suite 205 Oakwood OH 45409-1963 |
| Practice Telephone | 9374998273 |
| Practice Fax Number | 9372239811 |
| Mailing Telephone | 9373953656 |
| Mailing Fax Number | 9373953657 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 291690 | OH | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN291690 | OH | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.10474-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-10474 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CARESOURCE OHIO | 421534506138 | 01 |
| OH | BCBS OHIO | 000000599279 | 01 |
| OH | 2948341 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295280121 | Rebecca Roberts | Speech-Language Pathologist | 2211 Puerto Rico Ave, Alamogordo, NM 88310-5529 | 2016-08-21 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1659703130 | Rebecca Sue Roberts | Physical Therapy Assistant | 6201 W Olive Ave Apt 3049, Glendale, AZ 85302-4532 | 2013-08-06 |
| 1306455704 | Rebecca J Roberts | Counselor | 2000 N Racine Ave Ste 3300, Chicago, IL 60614-4045 | 2020-07-31 |
| 1043838915 | Rebecca Roberts | Behavior Technician | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-08 |
| 1942820766 | Rebecca Ann Roberts | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Mmc 295, Minneapolis, MN 55455 | 2020-04-22 |
| 1063069052 | Rebecca Louise Roberts | Speech-Language Pathologist | 1318 E Independence St, Shawnee, OK 74804-4137 | 2019-08-23 |
| 1538728712 | Rebecca Wingard Roberts | Nurse Practitioner | 1062 Forsyth St Ste 1b, Macon, GA 31201-8638 | 2019-06-11 |
| 1245796499 | Rebecca Roberts | Physical Therapist | 78-6831 Alii Dr Ste 420, Kailua Kona, HI 96740-5403 | 2019-02-13 |
| 1053808659 | Rebecca Roberts | Social Worker | 50 W Hawthorne Ave, Valley Stream, NY 11580-6220 | 2018-04-18 |
| Street Address |
136 S LUDLOW ST FL. 1 |
| City | DAYTON |
| State | OH |
| Zip Code | 45402-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528429602 | Rhea Jeffers | Nurse Practitioner | 136 S Ludlow St, Dayton, OH 45402-1813 | 2016-03-16 |
| 1629484555 | Megan Elizabeth Blessinger | Internal Medicine | 136 S Ludlow St, Fl.1, Dayton, OH 45402-1813 | 2014-07-11 |
| 1356681993 | Premier Health Specialists Inc | Podiatrist | 136 S Ludlow St, First Floor, Dayton, OH 45402-1813 | 2013-02-19 |
| 1407113442 | Rebecca Lynn Al-hamdani | Nurse Practitioner | 136 S Ludlow St, Fl.1, Dayton, OH 45402-1813 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902314750 | Sierra D Hamilton | Student in an Organized Health Care Education/Training Program | 1222 S Patterson Blvd Ste 120, Dayton, OH 45402 | 2018-01-15 |
| 1043738693 | Andrea Enterline | Pharmacist | 230 North Main Street, Dayton, OH 45402 | 2017-09-05 |
| 1407377427 | Felicia Renee Barefield | Registered Nurse | 1222 Vernon Drive, Dayton, OH 45402 | 2017-06-29 |
| 1306377924 | Organization1 | Chronic Disease Hospital | 230 N Main Street, Dayton, OH 45402 | 2017-03-24 |
| 1801336144 | Affect Consulting, LLC | Social Worker | 131 N. Ludlow Street, 248, Dayton, OH 45402 | 2017-03-06 |
| 1669910261 | Latrisha Benson | Nurse's Aide | 326 Middle St., Dayton, OH 45402 | 2017-02-03 |
| 1417404849 | Five Rivers Health Center | Clinic/Center | 725 S. Ludlow St, Dayton, OH 45402 | 2016-09-01 |
| 1780130609 | Christine Hotz-steward | Social Worker | 660 S Main St Gesmv, Dayton, OH 45402 | 2016-08-31 |
| 1942655618 | Cindy Warner | Counselor | 444 West 3rd St, Dayton, OH 45402 | 2016-04-29 |
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| Find all providers in zip 45402 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1669073052 | Brittany Ann Flynn | Nurse Practitioner | 2200 Miami Valley Dr, Dayton, OH 45459-4783 | 2020-11-03 |
| 1164064077 | Laura Cristina Schimmoeller | Nurse Practitioner | 4100 W 3rd St, Dayton, OH 45428-9000 | 2019-10-11 |
| 1689145013 | Ebenezer Akoi Asiedu | Nurse Practitioner | 725 S Ludlow St, Dayton, OH 45402-2610 | 2018-12-11 |
| 1952804437 | Sherry M Arnold | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2018-03-12 |
| 1740730159 | Karen Christian | Nurse Practitioner | 1520 S Main St Ste 3, Dayton, OH 45409-2643 | 2016-10-10 |
| 1083018030 | Stacey Childress | Nurse Practitioner | 30 E Apple St, Ste 3300, Dayton, OH 45409-2939 | 2014-10-20 |
| 1023359106 | Anne Marie House | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2013-03-14 |
| 1366787962 | Karla Shearer | Nurse Practitioner | 40 N Main St, Suite 1360, Dayton, OH 45423-1021 | 2012-12-07 |
| 1427309202 | Hannah Marie Moore | Nurse Practitioner | 2132 E 3rd St, Dayton, OH 45403-1991 | 2012-09-20 |
| 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.