Nicole Roberts

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2225 N Union St.
Ponca City, OK 74601-1536

Phone

(580) 308-5515

Fax

(580) 749-5792

NPI assigned

Oct 30, 2020

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

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1407456114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 N UNION ST.",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011536",
            "telephone_number": "580-308-5515",
            "fax_number": "580-749-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N UNION ST.",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011536",
            "telephone_number": "580-308-5515",
            "fax_number": "580-749-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Beth Richmond, ASSOCIATE DEGREE
• Mark Edward Rigney, M.D.
• Ruth Elizabeth Riley, LPC
• Jason Rivera
• Jake Aaron Roberts, LPC
• Krista R. Robertson
• Guillermo Robles, DO
• Haylee Michelle Rogers, RN
• Leann Marie Rogers
• Tom Rogers, B.S.

• Case Manager/Care Coordinator in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.