VICTORIA A ROEBUCK (NPI# 1881748952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881748952 |
| Entity Type | Individual |
| Full Name | VICTORIA A ROEBUCK |
| Credential | WHNP, MSN |
| Practice Address |
761 Old Norcross Rd Lawrenceville GA 30046-4317 |
| Practice Telephone | 7705134000 |
| Practice Fax Number | 7709953495 |
| Mailing Telephone | 7705134000 |
| Mailing Fax Number | 7709953495 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2012-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN074697 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | WELLCARE | 00850099A | 01 |
| GA | PEACH STATE | 000850099A | 01 |
| GA | 00850099A | 05 |
| Street Address |
761 OLD NORCROSS RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558413880 | John Thomas Hydrick | Obstetrics & Gynecology | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-17 |
| 1033618566 | Shana-kae J Davis-chance | Nurse Practitioner | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2018-02-11 |
| 1124437991 | Ashley Grimes | Nurse Practitioner | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2014-08-06 |
| 1043658180 | Laura Marie Morgigno | Obstetrics & Gynecology | 761 Old Norcross Rd, Lawrenceville, GA 30046 | 2013-06-11 |
| 1144535790 | Brittainy L Dark | Obstetrics & Gynecology | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2010-08-06 |
| 1194854125 | Maternal Gynerations 2 LLC | Obstetrics & Gynecology | 761 Old Norcross Rd, Lawrenceville, GA 30045-4317 | 2007-03-05 |
| 1689711558 | Maternal Gynerations, PC | Obstetrics & Gynecology | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-31 |
| 1801933742 | Ramona J Goetz | Midwife | 761 Old Norcross Rd, Lawrenceville, GA 30045-4317 | 2007-01-31 |
| 1568516771 | Jonne Sveum | Midwife | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-23 |
| 1467506717 | Edmund Sung Joon Kim | Obstetrics & Gynecology | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205801420 | Debra L Crowley | Nurse Practitioner | 324 W Pike St, Lawrenceville, GA 30045-4880 | 2006-02-21 |
| 1497720601 | Rita C Skelton | Nurse Practitioner | 15 S Clayton St, Lawrenceville, GA 30045-5715 | 2006-02-21 |
| 1184699852 | Elizabeth E Daniel | Nurse Practitioner | 2570 Riverside Parkway, Lawrenceville, GA 30046-0897 | 2006-02-17 |
| 1295273571 | Amy Davidson | Nurse Practitioner | 500 Medical Center Blvd, Suite 365, Lawrenceville, GA 30046-8708 | 2017-02-07 |
| 1770950578 | Elizabeth Nicole Gray | Nurse Practitioner | 500 Medical Center Blvd, Suite 210, Lawrenceville, GA 30046-8708 | 2015-08-27 |
| 1609258870 | Josephine Brinkley | Nurse Practitioner | 500 Medical Center Blvd, Suite 310, Lawrenceville, GA 30046-8708 | 2015-06-24 |
| 1124437991 | Ashley Grimes | Nurse Practitioner | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2014-08-06 |
| 1366622250 | Crystal Ann Ledwith | Nurse Practitioner | 500 Medical Center Blvd, Suite 290, Lawrenceville, GA 30045-8708 | 2007-11-07 |
| 1144352451 | Linda H Mangum | Nurse Practitioner | 203 Sharp St, Lawrenceville, VA 23868 | 2007-03-12 |
| 1356495436 | Kristine E Miller | Nurse Practitioner | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-23 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on VICTORIA A ROEBUCK.
| 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.