KELLY C. ROBERTS (NPI# 1861893075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861893075 |
| Entity Type | Individual |
| Full Name | KELLY C. ROBERTS |
| Credential | SLPA |
| Practice Address |
7676 Canberra Way Riverside CA 92508-6048 |
| Practice Telephone | 9518678229 |
| Mailing Telephone | 9518678229 |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2014-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SPA2495 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090534 | Kelly Roberts | Social Worker | 2520 Hampton Rd Ste 18, Erie, PA 16502-2073 | 2017-08-23 |
| 1568912129 | Kelly M Roberts | Nurse Practitioner | 555 W Pine Street, Farmington, MO 63640 | 2016-10-07 |
| 1912353160 | Kelly Roberts | Peer Specialist | 405 Ne Avondale Ave, Bartlesville, OK 74006-1702 | 2016-05-06 |
| 1992024152 | Kelly Roberts | Psychologist | 5648 William Penn Hwy, Export, PA 15632 | 2010-05-26 |
| 1477706109 | Kelly S Roberts | Occupational Therapist | 25 Van Buren St, Albany, NY 12206-1222 | 2008-10-26 |
| 1508908617 | Kelly F Roberts | Social Worker | 704 North Hwy 64, Manteo, NC 27954 | 2007-02-13 |
| 1396768719 | Kelly M Roberts | Audiologist | 119 Se Wilson Ave, Bend, OR 97702-1714 | 2006-07-26 |
| 1699382465 | Kelly Roberts | Student in an Organized Health Care Education/Training Program | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2020-09-25 |
| 1609410133 | Kelly Elizabeth Roberts | Speech-Language Pathologist | 52 3rd Ave, Brentwood, NY 11717-4651 | 2019-10-28 |
| 1538611934 | Kelly Roberts | Nurse Practitioner | 3727 Friendsville Rd, Unit 200, Wooster, OH 44691-7131 | 2016-11-01 |
| Street Address |
7676 CANBERRA WAY |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92508-6048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699257121 | Careconnexus, LLC | Non-emergency Medical Transport (VAN) | 9338 Millionaire Lane, Riverside, CA 92508 | 2018-08-31 |
| 1003265117 | Travis William Cruz | Physician Assistant | 9525 Los Amigos Court, Riverside, CA 92508 | 2016-06-09 |
| 1043610769 | Mountain Vista Medical Center | General Acute Care Hospital | 8168 Palm View Ln, Riverside, CA 92508 | 2014-08-29 |
| 1952642399 | John Lawrence Bowers | Marriage & Family Therapist | 19900 Grove Community Drive, Riverside, CA 92508 | 2013-03-11 |
| 1952605248 | Dennis Graves | Counselor | 17270 Roosevelt Ave, Riverside, CA 92508 | 2011-01-01 |
| 1811207632 | Bekele T Haimanot | Physician Assistant | 9528 Los Coches Court, Riverside, CA 92508 | 2010-10-14 |
| 1518144625 | Irene T. Zaki | Dentist | 20873 Grove Community Dr., Riverside, CA 92508 | 2008-01-31 |
| 1093902447 | Edward Keith Forward | Specialist | 18167 Kross Rd, Riverside, CA 92508 | 2007-10-01 |
| 1255523593 | Sopheap Tang | Dentist | 18876 Van Buren Blvd, Ste 107, Riverside, CA 92508 | 2007-08-10 |
| 1942336995 | Ching-roo Chi | Dentist | 473 E. Allessandro Blvd., Suite A, Riverside, CA 92508 | 2007-02-26 |
| Find all providers in zip 92508 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513904 | Jenifer G Camargo | Specialist/Technologist | 11284 Mountain Ave, Riverside, CA 92505-2633 | 2020-09-16 |
| 1922634344 | Melissa Gonzalez | Specialist/Technologist | 6096 Riverside Ave Apt 23, Riverside, CA 92506-2110 | 2020-03-17 |
| 1417582040 | Erica Wentworth | Specialist/Technologist | 2673 Mangrove Way, Riverside, CA 92506-5127 | 2020-03-04 |
| 1598395915 | Emy Pauline Totemeier | Specialist/Technologist | 5200 Chicago Ave Apt E10, Riverside, CA 92507-5871 | 2020-01-24 |
| 1306496633 | Janethe Ramos | Specialist/Technologist | 4310 Langston Pl, Riverside, CA 92507-5050 | 2019-09-18 |
| 1144885807 | Laura Grace Manimtim | Specialist/Technologist | 4176 Chittenden Cir, Riverside, CA 92509-6867 | 2019-05-07 |
| 1568928539 | Erika Graham | Specialist/Technologist | 8123 Magnolia Ave Apt 47, Riverside, CA 92504-3464 | 2019-02-14 |
| 1790266260 | Mayra Cano | Specialist/Technologist | 10039 Omar St, Riverside, CA 92503-4117 | 2018-08-23 |
| 1386139947 | Emily Gwendolyn Grace Done | Specialist/Technologist | 8584 De Loss Dr, Riverside, CA 92508-2539 | 2018-06-26 |
| 1962990853 | Melinda Lee Loreto | Specialist/Technologist | 4405 Gilchrist Dr, Riverside, CA 92505-9100 | 2018-04-25 |
| Find all providers in RIVERSIDE | ||||
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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.