Jessica Dawn Roberts, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

242646 Issued in AZ

Practice address

1126 W Elliot Rd Unit 1078
Chandler, AZ 85224-1877

Phone

(480) 292-3485

NPI assigned

Jul 23, 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

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": "1658534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1326773284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 W ELLIOT RD UNIT 1078",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241877",
            "telephone_number": "480-292-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 W ELLIOT RD UNIT 1078",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241877",
            "telephone_number": "480-292-3485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 N Scottsdale Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852574207",
            "country_code": "US",
            "telephone_number": "480-990-3720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-23",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "242646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert D Walker DDS, Ms, PC
• Robert F. Walker Jr., D.D.S., P.C.
• Robert J Brown DDS PC
• Andrew Ensign Roberts, M.S., D.C.
• David Karl Roberts, DPT
• Julie Ann Roberts
• Matthew J Roberts, OTR
• Rebecca Roberts
• Serena Dawn Roberts, FNP-C
• Victoria Roberts, NP

• Licensed Practical Nurse in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.