NICOLE ANN ROBERTS (NPI# 1972158624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972158624 |
| Entity Type | Individual |
| Full Name | NICOLE ANN ROBERTS |
| Other Name | NICOLE ANN PEREZ |
| Credential | NP |
| Practice Address |
1402 Bailey Ave Needles CA 92363-3104 |
| Practice Telephone | 7603260222 |
| Mailing Telephone | 7603260222 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95012386 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326876 | Nicole Francisca Roberts | Family Medicine | 1449 S Monterey St, Gilbert, AZ 85233-8436 | 2020-11-08 |
| 1407456114 | Nicole Roberts | Case Manager/Care Coordinator | 2505 E Hartford Ave Apt 10, Ponca City, OK 74604-3009 | 2020-10-30 |
| 1700490935 | Nicole Frances Roberts | Registered Nurse | 109 Haymeadow Dr, Crandall, TX 75114-5138 | 2020-09-04 |
| 1295368884 | Nicole Roberts | Specialist/Technologist | 221 W Elder St, Dike, IA 50624-7742 | 2020-02-21 |
| 1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
| 1790223162 | Nicole Lea Roberts | Counselor | 401 S Eighty Dr, Somers, MT 59932-8501 | 2017-02-06 |
| 1518391689 | Nicole M Roberts | Speech-Language Pathologist | 9818 S Johnson Way, Littleton, CO 80127-8584 | 2013-08-26 |
| 1073689345 | Nicole Roberts | Speech-Language Pathologist | 3414 W Corona St, Tampa, FL 33629-7906 | 2006-11-28 |
| 1669030896 | Nicole Breann Roberts | Behavior Technician | 3101 Sunset Blvd Ste 1a, Rocklin, CA 95677-3097 | 2019-06-03 |
| 1457819757 | Nicole Roberts | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-03-05 |
| Street Address |
1402 BAILEY AVE |
| City | NEEDLES |
| State | CA |
| Zip Code | 92363-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922356369 | Tri-state Community Healthcare Center | Clinic/Center | 1402 Bailey Ave, Needles, CA 92363-3104 | 2012-08-15 |
| 1316484074 | Lateshia Henderson | Nurse Practitioner | 1402 Bailey Ave, Needles, CA 92363-3104 | 2017-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396022026 | Dhhs Ihs Phoenix Area | Clinic/Center | 1900 Palo Verde, Havasu Lake, CA 92363 | 2011-11-09 |
| 1457520942 | Community Healthcare Partner, Inc | Emergency Medicine | 1401 Bailey Avenue, Needles, CA 92363 | 2008-02-28 |
| 1457478075 | Lake Havasu Fire District | Ambulance | 148808 Havasu Lake Rd, Lake Havasu, CA 92363 | 2007-03-26 |
| 1871070672 | David Rubio | Counselor | 1600 Bailey Ave Ste 2, Needles, CA 92363 | 2018-07-24 |
| 1205035862 | Donald Anderson | Counselor | 640 California Ave, Needles, CA 92363-2115 | 2007-07-13 |
| 1578642815 | Jerry Neil South | Chiropractor | 1400 Needles Hwy, Ste. 105, Needles, CA 92363-2364 | 2006-11-06 |
| 1437145299 | Willow Valley Pharmacy, Inc., Dba | Pharmacy | 1101 W Broadway St, Needles, CA 92363-2704 | 2005-09-26 |
| 1417426578 | Needles Hospice, Inc. | Hospice Care, Community Based | 813 W Broadway St Unit B, Needles, CA 92363-2727 | 2018-11-19 |
| 1598397960 | Billet Adhc Inc Needles | Clinic/Center | 901 Front St, Needles, CA 92363-2739 | 2020-02-04 |
| 1821126889 | Mental Health Systems, Inc. | Community/Behavioral Health | 300 H St, Needles, CA 92363-2928 | 2007-03-01 |
| Find all providers in zip 92363 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316484074 | Lateshia Henderson | Nurse Practitioner | 1402 Bailey Ave, Needles, CA 92363-3104 | 2017-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NICOLE ANN 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.