Alexandra Roberts

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

010858524 Issued in LA

Practice address

2053 Gause Blvd E
Slidell, LA 70461-5449

Phone

(985) 649-1001

NPI assigned

Jan 12, 2018

Last updated

Jul 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1538677539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615449",
            "telephone_number": "985-649-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615449",
            "telephone_number": "985-649-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "010858524",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "010858524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivertown Optical LLC
• Rivertown Optical LLC
• Jill Richert Rizk, CCC-SLP
• Jordan Elaine Roach
• Robert V Shafor, MD
• Cory Anthony Roberts, M.D.
• Jonny David Roberts Jr., D.C.
• Michelle B Roberts, RN, IBCLC,RLC
• Shana K Roberts, MHS
• Stephanie Roberts, LMT

• Case Manager/Care Coordinator in Slidell, LA
• Providers in Slidell, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.