KEVIN ROBERTS (NPI# 1629628102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629628102 |
| Entity Type | Individual |
| Full Name | KEVIN ROBERTS |
| Practice Address |
15 Sunset Dr Medway MA 02053-2007 |
| Practice Telephone | 5085339117 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH | E0914422 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1326402819 | Kevin Roberts | Nurse Practitioner | 36800 Queen Bee Ln, Grand Island, FL 32735-8950 | 2016-04-11 |
| 1427359231 | Kevin Brent Roberts | Physical Therapist | 10 Crossroads Ct, Alton, IL 62002-4100 | 2010-11-10 |
| 1912223165 | Kevin Mathis Roberts | Specialist/Technologist | 10590 Town Center Dr Ste 100, Rancho Cucamonga, CA 91730-0361 | 2010-04-13 |
| 1952412769 | Kevin A Roberts | Chiropractor | 924 24th St Ste 2, Ogden, UT 84401-2641 | 2006-08-31 |
| 1326036104 | Kevin Jay Roberts | Psychiatry & Neurology | 3 Walden Ridge Dr, Suite 200, Asheville, NC 28803-8587 | 2005-10-06 |
| 1386203347 | Kevin Roberts | Behavior Technician | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2019-06-12 |
| 1669917910 | Kevin Roberts | Behavior Technician | 27268 Via Industria, Temecula, CA 92590-3751 | 2016-12-22 |
| 1942655519 | Kevin Roberts | Social Worker | 730 Medical Center Ct, Chula Vista, CA 91911 | 2016-05-02 |
| 1477950335 | Kevin Roberts | Specialist/Technologist | 5500 Avenue N, Rosenberg, TX 77471-5652 | 2014-11-20 |
| Street Address |
15 SUNSET DR |
| City | MEDWAY |
| State | MA |
| Zip Code | 02053-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950115 | Amy Fiorello | Physical Therapist | Generations Out Pt Rehab, 115 Holliston St, Medway, MA 02053 | 2019-03-06 |
| 1992223523 | Julie Kilroy | Behavioral Analyst | 3 Royal Heights Drive, Medway, MA 02053 | 2017-09-04 |
| 1417293879 | Kimberly Crocker Crowther | Nurse Practitioner | 67d Main St., Medway, MA 02053 | 2012-12-12 |
| 1811228331 | Carol Perlman, Ph.d., P.C. | Psychologist | 165 Main St., Suite 203, Medway, MA 02053 | 2010-01-22 |
| 1144470881 | Precision Medical Services | Non-emergency Medical Transport (VAN) | 82 Broad Street, Medway, MA 02053 | 2008-09-30 |
| 1801046073 | Nathaniel Mcmahan | Physical Therapist | 165 Main St Unit 209, Medway, MA 02053 | 2008-09-24 |
| 1831296847 | Thomas R Hart | Social Worker | 3 Birch Bark Road, Medway, MA 02053 | 2006-09-20 |
| 1720119951 | Carl M Sousa | Internal Medicine | 74 Main Street, Medway, MA 02053 | 2007-03-08 |
| 1699836999 | Gail Marie Carey | Counselor | 169 Main Street, Suite 101, Medway, MA 02053 | 2006-12-12 |
| 1285718098 | Carl M Sousa PC | Internal Medicine | 74 Main Street, Medway, MA 02053 | 2006-10-25 |
| Find all providers in zip 02053 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003444308 | Kathryn Marie Hamer | Student in an Organized Health Care Education/Training Program | 13 Broken Tree Rd, Medway, MA 02053-2447 | 2020-03-31 |
| 1801441217 | Dawda Jawara | Student in an Organized Health Care Education/Training Program | 3516 Winding Way Dr, Medway, OH 45341-9703 | 2019-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356810 | Alyssa Collins | Student in an Organized Health Care Education/Training Program | 11 Porter Ln, West Dennis, MA 02670-2318 | 2020-11-03 |
| 1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
| 1396346920 | Bridget Costello | Student in an Organized Health Care Education/Training Program | 171 Achilles Way, North Attleboro, MA 02763-4021 | 2020-11-01 |
| 1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
| 1992305338 | Rebecca Rivas | Student in an Organized Health Care Education/Training Program | 419 Court St, Brockton, MA 02302-2809 | 2020-10-26 |
| 1417556101 | Rachel Socolof | Student in an Organized Health Care Education/Training Program | 40 Boylston St Apt 1, Malden, MA 02148-7803 | 2020-10-22 |
| 1932707445 | Kennedy Tambi | Student in an Organized Health Care Education/Training Program | 68 Charles St, Fitchburg, MA 01420-7742 | 2020-10-16 |
| 1821696261 | Julia Elizabeth Erskine | Student in an Organized Health Care Education/Training Program | 119 Boston Ave Apt 1, Medford, MA 02155-3570 | 2020-10-16 |
| 1962000216 | Cidney Moscovitch | Student in an Organized Health Care Education/Training Program | 232 Chelsea St Apt 2, East Boston, MA 02128-1765 | 2020-10-09 |
| 1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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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.