MICHELE ROBERTS, LLC (NPI# 1750561064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750561064 |
| Entity Type | Organization |
| Organization Name | MICHELE ROBERTS, LLC |
| Practice Address |
6209 Mid Rivers Mall Dr #317 Saint Peters MO 63304-1102 |
| Practice Telephone | 6362444500 |
| Practice Fax Number | 6362444505 |
| Mailing Telephone | 6362444500 |
| Mailing Fax Number | 6362444505 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-21 |
| Authorized Official Name | MICHELE ROBERTS (GNP) |
| Authorized Official Telephone | 6362444500 |
| Authorized Official Credential | GNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
103362 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | DB9981 | 01 |
| Street Address |
6209 MID RIVERS MALL DR #317 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63304-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451708 | Michele Roberts | Nurse Practitioner | 6209 Mid Rivers Mall Dr, Suite 317, Saint Peters, MO 63304-1102 | 2005-07-19 |
| 1003933631 | Nancy M. Birtley, LLC | Clinical Nurse Specialist | 6209 Mid Rivers Mall Dr, #317, Saint Peters, MO 63304-1102 | 2007-03-26 |
| 1306963939 | A M Datuin Psychiatry & Neurology, Sc | Psychiatry & Neurology | 6209 Mid Rivers Mall Dr, #317, Saint Peters, MO 63304-1102 | 2007-03-26 |
| 1811044233 | Michele Ann Roberts, PC | Nurse Practitioner | 6209 Mid Rivers Mall Dr, #317, Saint Peters, MO 63304-1102 | 2007-01-05 |
| 1255330429 | Alejandro Datuin | Psychiatry & Neurology | 6209 Mid Rivers Mall Dr, Suite 317, Saint Peters, MO 63304-1102 | 2005-07-19 |
| 1689673956 | Nancy Birtley | Clinical Nurse Specialist | 6209 Mid Rivers Mall Dr, Suite 317, Saint Peters, MO 63304-1102 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382127 | Susan Brockmeyer | Occupational Therapist | 600 Breeze View Ln, Weldon Springs, MO 63304 | 2020-09-29 |
| 1235743097 | Brett Allan Lancaster | Pharmacist | 3801 Old Highway 94, St. Peters, MO 63304 | 2020-08-31 |
| 1356834683 | Emily Elizabeth Blau | Chiropractor | 5055 State Highway N, 108, Cottleville, MO 63304 | 2018-06-12 |
| 1033606769 | Christina Marie Crain | Counselor | 501 Chele Dr, Saint Charles, MO 63304 | 2018-04-18 |
| 1063875532 | Amy L Ney-carder | Speech-Language Pathologist | 5199 State Highway N, St. Peters, MO 63304 | 2016-04-01 |
| 1609127745 | Lawlor Chiropractic LLC | Chiropractor | 6028 Weldon Spring Parkway, Weldon Spring, MO 63304 | 2012-09-28 |
| 1043588510 | Esther Lima | Pharmacist | 3801 S Harvester Rd, St Peters, MO 63304 | 2011-12-12 |
| 1922318245 | Sonya Paramore | Counselor | 1480 Woodstone Drive, Suite 211, Saint Charles, MO 63304 | 2010-10-20 |
| 1871624445 | Joylynn Anderson | Social Worker | 5931 Highway 94 South, Saint Charles, MO 63304 | 2007-03-08 |
| 1821155706 | Cynthia Lynn Sitarski | Occupational Therapist | 4545 Central School Road, St. Charles, MO 63304 | 2007-01-02 |
| Find all providers in zip 63304 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451708 | Michele Roberts | Nurse Practitioner | 6209 Mid Rivers Mall Dr, Suite 317, Saint Peters, MO 63304-1102 | 2005-07-19 |
| 1811044233 | Michele Ann Roberts, PC | Nurse Practitioner | 6209 Mid Rivers Mall Dr, #317, Saint Peters, MO 63304-1102 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632932 | Rebecca Theresa Medlock | Nurse Practitioner | 736 Marco Valley Ct, Fenton, MO 63026-5318 | 2020-06-05 |
| 1083233274 | Gina Hart | Nurse Practitioner | 12101 Woodcrest Executive Dr Ste 102, Saint Louis, MO 63141-5047 | 2020-04-08 |
| 1215569512 | Nicole M Wikoff | Nurse Practitioner | 12415 Hickory Grove Ln, Saint Louis, MO 63146-3907 | 2020-02-05 |
| 1124658257 | Amadu Barrie | Nurse Practitioner | 134 Midland Avenue, Maryland Heights, MO 63043 | 2020-01-16 |
| 1922569995 | Sarah Regan | Nurse Practitioner | 1031 Bellevue Ave Ste 100, Saint Louis, MO 63117-1855 | 2019-03-30 |
| 1437615044 | Ashley M Berneking | Nurse Practitioner | 4122 Keaton Crossing Blvd Ste 102, O Fallon, MO 63368-8219 | 2019-02-19 |
| 1174094072 | Michelle Kay Bank | Nurse Practitioner | 12409 Roth Hill Dr, Maryland Heights, MO 63043-2941 | 2018-12-17 |
| 1861968612 | Nasir Gebi | Nurse Practitioner | 603 E Minor Dr Apt 202, Kansas City, MO 64131-3688 | 2018-10-19 |
| 1457839573 | Robert Claude Kamtio Kamgoum | Nurse Practitioner | 406 W 34th St Ste 428, Kansas City, MO 64111-3113 | 2018-07-31 |
| 1639613813 | University of Missouri | Nurse Practitioner | 1100 Virginina Ave, Columbia, MO 65212-0001 | 2016-12-07 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63304 |
Please comment or provide details below to improve the information on MICHELE ROBERTS, LLC.
| 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.