Juanita C Roberts (NPI# 1104471382, PAC ID# 2062743016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104471382 |
| PAC ID by PECOS | 2062743016 |
| Professional Enrollment ID | I20191007001424 |
| Full Name | Juanita C Roberts |
| Organization Legal Name | BRENTWOOD ACQUISITION-SHREVEPORT, INC |
| Address |
1006 Highland Ave Shreveport LA 71101-4103 |
| Phone Number | 3186787500 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1951379312 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1006 Highland Ave, Shreveport, LA 71101-4103 | 3186787500 | BRENTWOOD ACQUISITION-SHREVEPORT, INC |
| Organization Legal Name | BRENTWOOD ACQUISITION-SHREVEPORT, INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guy E Brannon | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Alexandra K Drake | Nurse Practitioner | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Daniel J Feeney | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Matthew S Menard | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Kathryn Kennedy | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Katherine E Smith | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Swamy Suresh B Sabbenahalli Narayana | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Ruchika Yusufji | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Alexandra Jones Stewart | Nurse Practitioner | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Elizabeth F Bright | Nurse Practitioner | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Street Address |
1006 HIGHLAND AVE |
| City | SHREVEPORT |
| State | LA |
| Zip | 71101-4103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guy E Brannon | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Alexandra K Drake | Nurse Practitioner | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Daniel J Feeney | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Matthew S Menard | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Kathryn Kennedy | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Katherine E Smith | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Swamy Suresh B Sabbenahalli Narayana | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Ruchika Yusufji | Psychiatry | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Alexandra Jones Stewart | Nurse Practitioner | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Elizabeth F Bright | Nurse Practitioner | Brentwood Acquisition-shreveport, Inc | 1006 Highland Ave, Shreveport, LA 71101-4103 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn E. Mcneil | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Jason M Broussard | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Kirsti N Peavy | Physician Assistant | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Arien M Ward | Psychologist, Clinical | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Devanshi Jani | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Albert M Aura | Internal Medicine | 1111 Line Ave, Shreveport, LA 71101-3841 | |
| Jeffrey T Overdyke | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Caleb Blair Harkins | Nurse Practitioner | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Mark H Smith | General Surgery | Wk South Surgical Hospitalists | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Matthew C Raley | Internal Medicine | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Find all physicians in zip 71101 | |||
| City | SHREVEPORT |
| Zip Code | 71101 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHREVEPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Juanita C Roberts.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.