Amanda Dawn Roby

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

000 Issued in WV

Practice address

2880 Fried Meat Ridge Rd
Keyser, WV 26726-8624

Phone

(304) 289-5632

Fax

(304) 289-5082

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Dawn Patterson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1255057477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 FRIED MEAT RIDGE RD",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267268624",
            "telephone_number": "304-289-5632",
            "fax_number": "304-289-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 FRIED MEAT RIDGE RD",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267268624",
            "telephone_number": "304-289-5632",
            "fax_number": "304-289-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBY",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aroby@bumfs.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2880 Fried Meat Ridge Rd",
            "city": "Keyser",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267268624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PATTERSON",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Faye Rizer
• Lori Roach
• Lindsey Breann Robertson, PA-C
• Katrina Robinette, LSW
• Destiny Dawn Roblero
• Michaela Tess Roby
• Kenneth Alan Rock, MD
• Faith Ann Rodeheaver, FNP-BC
• Ivy Jane Rodeheaver
• Tina Marie Rodeheaver

• Peer Specialist in Keyser, WV
• Providers in Keyser, WV by specialty
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.