Mary Geralyn Roberts, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

185996-30 Issued in WI

Practice address

7239 N River Rd
West Bend, WI 53090-1216

Phone

(262) 334-1359

NPI assigned

Sep 12, 2012

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2012.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1295085751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7239 N RIVER RD",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530901216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7239 N RIVER RD",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530901216",
            "telephone_number": "262-334-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MARY",
        "middle_name": "GERALYN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "185996-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Riesterer, OD
• Rieter Podiatry Associates SC
• Todd Ralph Rieter, D.P.M.
• Spencer Rittmann, PTA
• River Shores Chiropractic SC
• Lisa Roche, RD
• Julie Anne Rocheleau, LPC, SAC
• Janine Rochwite, LPC
• Carlos J Rodriguez, MD
• Gerald Matthew Roherty, PH.D

• All providers in West Bend, WI
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.