Shemonica Keanne Roberts

Primary specialty

Feeding, Eating & Swallowing Occupational Therapy AssistantTaxonomy code 224ZF0002X

License

OTA002108 Issued in GA

Practice address

2280 Highway 29 N
Newnan, GA 30265-1031

Phone

(770) 683-6904

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

Yes

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1558047290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BEVERLY PARK CT",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302636028",
            "telephone_number": "770-253-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 HIGHWAY 29 N",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651031",
            "telephone_number": "770-683-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHEMONICA",
        "middle_name": "KEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": "GA",
            "license": "OTA002108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Rivera-Morales, DMD, MS
• Elexus Rivera
• RJKS Janitorial Cleaning Services LLC
• Jamison R. Roberts, M.D.
• Matthew Roberts, D.O.
• Leah Robilotto Bass, LPC-A
• Camiel Marlene Robinson
• Morgan Robinson
• Niesha Robinson, MC
• Rocky Mountain Holdings, LLC

• Occupational Therapy Assistant in Newnan, GA
• Providers in Newnan, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.