KATRINA ROBERTS (NPI# 1780040907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780040907 |
Entity Type | Individual |
Full Name | KATRINA ROBERTS |
Practice Address |
849 S Gravel Pit Rd Decatur IL 62522-9720 |
Practice Telephone | 2175206953 |
Mailing Telephone | 2175206953 |
Enumeration Date | 2016-01-04 |
Last Update Date | 2016-01-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154849289 | Katrina Roberts | Pharmacist | 70 Yellow Creek Rd, Evanston, WY 82930-5227 | 2017-09-08 |
1609322502 | Katrina Roberts | Nurse Anesthetist, Certified Registered | 1984 Peachtree Rd Nw, #515, Atlanta, GA 30309-5219 | 2016-08-30 |
Street Address |
849 S GRAVEL PIT RD |
City | DECATUR |
State | IL |
Zip Code | 62522-9720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043616097 | Billy Gene Roberts | Durable Medical Equipment & Medical Supplies | 849 S Gravel Pit Rd, Decatur, IL 62522-9720 | 2014-11-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902370299 | Julie Ann Marsh | Psychologist | 7120 W. William St., Decatur, IL 62522 | 2019-01-20 |
1588808323 | Paul D. Potter, D.d.s., Ltd | Dentist | 280 West North St, Decatur, IL 62522 | 2009-04-23 |
1801059100 | Melissa Ann Burnett | Dentist | 301 W North Street, Decatur, IL 62522 | 2008-07-07 |
1801060538 | Ronald James Grason | Internal Medicine | 357 W Decatur St, Decatur, IL 62522 | 2008-04-14 |
1033328349 | Jurgens & Kneezel Ltd | Dentist | 334 W Main Street, Decatur, IL 62522 | 2007-05-22 |
1740371905 | Randy Curtis Kneezel | Dentist | 334 W Main, Decatur, IL 62522 | 2006-09-27 |
1457373375 | Patricia Elaine Norton | Dentist | 1099 W Wood St, Suite E, Decatur, IL 62522 | 2006-07-24 |
1104883735 | Stephen J Chadwick | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 | 2006-04-27 |
1417408386 | Heritage Behavioral Health Center | Community/Behavioral Health | 955 N Main St, Decatur, IL 62522 | 2016-10-17 |
1467522466 | Alan Russell Jurgens | Dentist | 334 W Main, Decatur, IL 62522 | 2006-11-08 |
Find all providers in zip 62522 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720547532 | Unique Visions LLC | Durable Medical Equipment & Medical Supplies | 2948 Laguna Dr, Decatur, GA 30032-3526 | 2019-03-19 |
1164915427 | Premium Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3011 Rainbow Dr Ste 303, Decatur, GA 30034-1681 | 2018-06-12 |
1396241535 | Gre Days Corp | Durable Medical Equipment & Medical Supplies | 3013 Rainbow Dr Ste 124, Decatur, GA 30034-1644 | 2018-04-05 |
1144733072 | Legacy Compounding Inc | Durable Medical Equipment & Medical Supplies | 2422 Danville Rd Sw Ste H, Decatur, AL 35603-4221 | 2017-11-14 |
1063924397 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2934 Point Mallard Pkwy Se, Decatur, AL 35603-5700 | 2017-10-26 |
1689186199 | Georgia Pain and Wellness Center | Durable Medical Equipment & Medical Supplies | 484 Irvin Ct Ste 110, Decatur, GA 30030-5406 | 2017-10-25 |
1558887497 | Decatur Medical Supplies | Durable Medical Equipment & Medical Supplies | 2107 N Decatur Rd Unit 832, Decatur, GA 30033-5305 | 2017-08-22 |
1972027456 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4855 Flat Shoals Pkwy, Decatur, GA 30034-5208 | 2017-07-27 |
1508304411 | Comfort Medical Supplies | Durable Medical Equipment & Medical Supplies | 5055 Miller Woods Dr, Decatur, GA 30035-3751 | 2017-02-10 |
1225493851 | Pain Rehab Equipment | Durable Medical Equipment & Medical Supplies | 220 Ponce De Leon Pl, 172, Decatur, GA 30030-3233 | 2015-12-26 |
Find all providers in DECATUR |
Please comment or provide details below to improve the information on KATRINA 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.