Individual provider Active NPI

Juanette Louise Roberts

  • Student in an Organized Health Care Education/Training Program
  • Milwaukee, WI
National Provider Identifier
1396300828
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
6001 W Center St Ste 105
Milwaukee, WI 53210-2154
Phone
(414) 393-1099
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X WI Primary

Addresses

Primary practice location

6001 W Center St Ste 105
Milwaukee, WI 53210-2154

Mailing address

10250 W Sharon LN Apt 6
Milwaukee, WI 53225-4647
Phone (414) 803-3254

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Milwaukee Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1396300828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 W SHARON LN APT 6",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532254647",
            "telephone_number": "414-803-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 W CENTER ST STE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102154",
            "telephone_number": "414-393-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JUANETTE",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Milwaukee",
            "affiliation": "N",
            "endpointDescription": "juanetteroberts96@gmail.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Milwaukee",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Milwaukee",
            "address_1": "6001 W Center St Ste 105",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532102154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.