MADONNA MARIE ROBERTS (NPI# 1659870590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659870590 |
| Entity Type | Individual |
| Full Name | MADONNA MARIE ROBERTS |
| Other Name | MADONNA MARIE DUPRE |
| Credential | RN, AGACNP-BC |
| Practice Address |
4400 Long Prairie Rd Flower Mound TX 75028-1892 |
| Mailing Address |
232 Irick Ct Aubrey TX 76227-1213 |
| Practice Telephone | 4693227481 |
| Practice Fax Number | 4693227807 |
| Mailing Telephone | 2146767068 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
718016 | TX | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP135379 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4400 LONG PRAIRIE RD |
| City | FLOWER MOUND |
| State | TX |
| Zip Code | 75028-1892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700867637 | Michelle Marie Wright | Physician Assistant | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2005-11-08 |
| 1700423555 | Megan Danielle Page | Registered Nurse | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2019-11-27 |
| 1598241408 | Nia Nicole Hudson | Specialist/Technologist, Other | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2018-07-13 |
| 1306188669 | Nazish Khurram | Internal Medicine | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2013-03-25 |
| 1730476623 | Anthia Philpmina Dasari | Internal Medicine | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2011-06-30 |
| 1962712166 | Flower Mound Hospital Partners, LLC | Clinic/Center | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2010-10-21 |
| 1962717454 | Jayalakshmi Kuseladass | Internal Medicine | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2010-08-10 |
| 1134384118 | Mona Khalid | Internal Medicine | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2008-07-18 |
| 1154583755 | Roberto Antonio Lopez-freeman | Emergency Medicine | 4400 Long Prairie Rd, Emergency Department, Flower Mound, TX 75028-1892 | 2008-06-26 |
| 1538329230 | Regina K Dimbo | Internal Medicine | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2008-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185047 | Too Health LLC | Home Health | 1404 Mimosa Ct, Flower Mound, TX 75028 | 2020-05-07 |
| 1417448127 | Kyle Miller | Physical Therapist | 4401 Long Prairie Rd Ste 300, Flower Mound, TX 75028 | 2018-05-29 |
| 1659898450 | Daniel De Armas | Optometrist | 5801 Long Prairie Rd Ste 360, Flower Mound, TX 75028 | 2017-08-23 |
| 1740727114 | Darya Ilushin | Chiropractor | 4305 Windsor Centre Trl Ste 100, Flower Mound, TX 75028 | 2017-01-24 |
| 1033661194 | Rsquared Healthcare Solutions & Consulting | Dentist | 2121 Lavender Lane, Flower Mound, TX 75028 | 2016-10-25 |
| 1912450578 | Jeannie Jin Wang | Dentist | 4421 Long Prairie Rd., #400, Flower Mound, TX 75028 | 2016-08-01 |
| 1700232121 | Carla Upperman-xu | Pediatrics | 2560 Central Park Ave, Suite 195, Flower Mound, TX 75028 | 2016-05-05 |
| 1487015731 | Bincy Philip | Nurse Practitioner | 500 Flower Mound Rd, Suite 102, Flower Mound, TX 75028 | 2016-03-15 |
| 1710369491 | Medical Massage Rx | Chiropractor | 2616 Long Prairie Rd., Suite 101, Flower Mound, TX 75028 | 2015-06-18 |
| 1821485673 | Audrey Morris | Nurse Practitioner | 4441 Long Prairie Road, Suite 400, Flower Mound, TX 75028 | 2015-04-20 |
| Find all providers in zip 75028 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265405344 | Tanya G Schlemmer | Nurse Practitioner | 6600 Red Bud Dr, Flower Mound, TX 75022-5862 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215800 | Kellie Lynn Myers | Nurse Practitioner | 26015 Penguin St, Magnolia, TX 77355-6249 | 2020-11-06 |
| 1356942148 | Nina Nicole Totanes | Nurse Practitioner | 12709 Toepperwein Rd Ste 203, Live Oak, TX 78233-3259 | 2020-11-06 |
| 1841890415 | Glenda Kelley | Nurse Practitioner | 8902 W State Highway 56, Savoy, TX 75479-3460 | 2020-10-31 |
| 1184223786 | Vincy Saji Mathew | Nurse Practitioner | 8804 Viridian Ln, Fort Worth, TX 76123-4030 | 2020-10-23 |
| 1265030787 | Lissa Flory | Nurse Practitioner | 4679 Dreibrodt Rd, San Marcos, TX 78666-3388 | 2020-10-16 |
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1972101897 | Biny Sam George | Nurse Practitioner | 7207 Baitland Dr, Missouri City, TX 77459-2035 | 2020-10-13 |
| 1285231282 | Nkechi I Carter | Nurse Practitioner | 1550 Katy Gap Rd Apt 1406, Katy, TX 77494-5878 | 2020-10-03 |
| 1770190753 | Julius Osabor Obianke | Nurse Practitioner | 1000 Fallon Dr, Mckinney, TX 75071-1210 | 2020-09-24 |
| 1740896315 | Mackenzie Brooks Jackson | Nurse Practitioner | 46 N Creekside Ct, Houston, TX 77055-7540 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
| City | FLOWER MOUND |
| Zip Code | 75028 |
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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.