Jada Nicole Roberts, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

1200 Childrens Ave Ste 12100
Oklahoma City, OK 73104-4637

Phone

(405) 271-8001

Fax

(405) 271-8697

NPI assigned

Jul 1, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jada Nicole Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Genetics Support Foundation, Inc.

  • Genetic Counselor (M.S.)
  • Olympia, WA
  • NPI 1023475845

  Genetic Counselor, Ms

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1154983146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 NW 138TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131649",
            "telephone_number": "405-821-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CHILDRENS AVE STE 12100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044637",
            "telephone_number": "405-271-8001",
            "fax_number": "405-271-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JADA",
        "middle_name": "NICOLE",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "OK",
            "license": "0339",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JADA",
            "last_name": "JACKSON",
            "middle_name": "NICOLE",
            "credential": "MS, CGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Roberts, LCSW
• Emmett Reaford Roberts Jr., MSW, ACSW, LCSW
• Ganicia Lashon Roberts
• Gil Roberts
• Grant D Roberts, PA
• James Roberts
• Jay Roberts, LPC
• Jerrod L Roberts, DPH
• John L Roberts, LPC
• Jonathan Lee Roberts

• Genetic Counselor (M.S.) in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Genetic Counselor (M.S.) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.